Blue Button 2.0 Implementation Guide

DMERC Line Pricing State Code (SSA)

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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 "dmerc-line-prcng-state-cd"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>DMERC Line Pricing State Code (SSA)</h2><div><p>The 2-digit SSA state code where the durable medical equipment (DME) supplier was located; used by the Medicare Administrative Contractor (MAC) for pricing the service. Source: https://bluebutton.cms.gov/resources/variables/dmerc<em>line</em>prcng<em>state</em>cd</p>\n</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-dmerc-line-prcng-state-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>01<a name=\"dmerc-line-prcng-state-cd-01\"> </a></td><td>Alabama</td><td>Alabama</td></tr><tr><td>02<a name=\"dmerc-line-prcng-state-cd-02\"> </a></td><td>Alaska</td><td>Alaska</td></tr><tr><td>03<a name=\"dmerc-line-prcng-state-cd-03\"> </a></td><td>Arizona</td><td>Arizona</td></tr><tr><td>04<a name=\"dmerc-line-prcng-state-cd-04\"> </a></td><td>Arkansas</td><td>Arkansas</td></tr><tr><td>05<a name=\"dmerc-line-prcng-state-cd-05\"> </a></td><td>California</td><td>California</td></tr><tr><td>06<a name=\"dmerc-line-prcng-state-cd-06\"> </a></td><td>Colorado</td><td>Colorado</td></tr><tr><td>07<a name=\"dmerc-line-prcng-state-cd-07\"> </a></td><td>Connecticut</td><td>Connecticut</td></tr><tr><td>08<a name=\"dmerc-line-prcng-state-cd-08\"> </a></td><td>Delaware</td><td>Delaware</td></tr><tr><td>09<a name=\"dmerc-line-prcng-state-cd-09\"> </a></td><td>District of Columbia</td><td>District of Columbia</td></tr><tr><td>10<a name=\"dmerc-line-prcng-state-cd-10\"> </a></td><td>Florida</td><td>Florida</td></tr><tr><td>11<a name=\"dmerc-line-prcng-state-cd-11\"> </a></td><td>Georgia</td><td>Georgia</td></tr><tr><td>12<a name=\"dmerc-line-prcng-state-cd-12\"> </a></td><td>Hawaii</td><td>Hawaii</td></tr><tr><td>13<a name=\"dmerc-line-prcng-state-cd-13\"> </a></td><td>Idaho</td><td>Idaho</td></tr><tr><td>14<a name=\"dmerc-line-prcng-state-cd-14\"> </a></td><td>Illinois</td><td>Illinois</td></tr><tr><td>15<a name=\"dmerc-line-prcng-state-cd-15\"> </a></td><td>Indiana</td><td>Indiana</td></tr><tr><td>16<a name=\"dmerc-line-prcng-state-cd-16\"> </a></td><td>Iowa</td><td>Iowa</td></tr><tr><td>17<a name=\"dmerc-line-prcng-state-cd-17\"> </a></td><td>Kansas</td><td>Kansas</td></tr><tr><td>18<a name=\"dmerc-line-prcng-state-cd-18\"> </a></td><td>Kentucky</td><td>Kentucky</td></tr><tr><td>19<a name=\"dmerc-line-prcng-state-cd-19\"> </a></td><td>Louisiana</td><td>Louisiana</td></tr><tr><td>20<a name=\"dmerc-line-prcng-state-cd-20\"> </a></td><td>Maine</td><td>Maine</td></tr><tr><td>21<a name=\"dmerc-line-prcng-state-cd-21\"> </a></td><td>Maryland</td><td>Maryland</td></tr><tr><td>22<a name=\"dmerc-line-prcng-state-cd-22\"> </a></td><td>Massachusetts</td><td>Massachusetts</td></tr><tr><td>23<a name=\"dmerc-line-prcng-state-cd-23\"> </a></td><td>Michigan</td><td>Michigan</td></tr><tr><td>24<a name=\"dmerc-line-prcng-state-cd-24\"> </a></td><td>Minnesota</td><td>Minnesota</td></tr><tr><td>25<a name=\"dmerc-line-prcng-state-cd-25\"> </a></td><td>Mississippi</td><td>Mississippi</td></tr><tr><td>26<a name=\"dmerc-line-prcng-state-cd-26\"> </a></td><td>Missouri</td><td>Missouri</td></tr><tr><td>27<a name=\"dmerc-line-prcng-state-cd-27\"> </a></td><td>Montana</td><td>Montana</td></tr><tr><td>28<a name=\"dmerc-line-prcng-state-cd-28\"> </a></td><td>Nebraska</td><td>Nebraska</td></tr><tr><td>29<a name=\"dmerc-line-prcng-state-cd-29\"> </a></td><td>Nevada</td><td>Nevada</td></tr><tr><td>30<a name=\"dmerc-line-prcng-state-cd-30\"> </a></td><td>New Hampshire</td><td>New Hampshire</td></tr><tr><td>31<a name=\"dmerc-line-prcng-state-cd-31\"> </a></td><td>New Jersey</td><td>New Jersey</td></tr><tr><td>32<a name=\"dmerc-line-prcng-state-cd-32\"> </a></td><td>New Mexico</td><td>New Mexico</td></tr><tr><td>33<a name=\"dmerc-line-prcng-state-cd-33\"> </a></td><td>New York</td><td>New York</td></tr><tr><td>34<a name=\"dmerc-line-prcng-state-cd-34\"> </a></td><td>North Carolina</td><td>North Carolina</td></tr><tr><td>35<a name=\"dmerc-line-prcng-state-cd-35\"> </a></td><td>North Dakota</td><td>North Dakota</td></tr><tr><td>36<a name=\"dmerc-line-prcng-state-cd-36\"> </a></td><td>Ohio</td><td>Ohio</td></tr><tr><td>37<a name=\"dmerc-line-prcng-state-cd-37\"> </a></td><td>Oklahoma</td><td>Oklahoma</td></tr><tr><td>38<a name=\"dmerc-line-prcng-state-cd-38\"> </a></td><td>Oregon</td><td>Oregon</td></tr><tr><td>39<a name=\"dmerc-line-prcng-state-cd-39\"> </a></td><td>Pennsylvania</td><td>Pennsylvania</td></tr><tr><td>40<a name=\"dmerc-line-prcng-state-cd-40\"> </a></td><td>Puerto Rico</td><td>Puerto Rico</td></tr><tr><td>41<a name=\"dmerc-line-prcng-state-cd-41\"> </a></td><td>Rhode Island</td><td>Rhode Island</td></tr><tr><td>42<a name=\"dmerc-line-prcng-state-cd-42\"> </a></td><td>South Carolina</td><td>South Carolina</td></tr><tr><td>43<a name=\"dmerc-line-prcng-state-cd-43\"> </a></td><td>South Dakota</td><td>South Dakota</td></tr><tr><td>44<a name=\"dmerc-line-prcng-state-cd-44\"> </a></td><td>Tennessee</td><td>Tennessee</td></tr><tr><td>45<a name=\"dmerc-line-prcng-state-cd-45\"> </a></td><td>Texas</td><td>Texas</td></tr><tr><td>46<a name=\"dmerc-line-prcng-state-cd-46\"> </a></td><td>Utah</td><td>Utah</td></tr><tr><td>47<a name=\"dmerc-line-prcng-state-cd-47\"> </a></td><td>Vermont</td><td>Vermont</td></tr><tr><td>48<a name=\"dmerc-line-prcng-state-cd-48\"> </a></td><td>Virgin Islands</td><td>Virgin Islands</td></tr><tr><td>49<a name=\"dmerc-line-prcng-state-cd-49\"> </a></td><td>Virginia</td><td>Virginia</td></tr><tr><td>50<a name=\"dmerc-line-prcng-state-cd-50\"> </a></td><td>Washington</td><td>Washington</td></tr><tr><td>51<a name=\"dmerc-line-prcng-state-cd-51\"> </a></td><td>West Virginia</td><td>West Virginia</td></tr><tr><td>52<a name=\"dmerc-line-prcng-state-cd-52\"> </a></td><td>Wisconsin</td><td>Wisconsin</td></tr><tr><td>53<a name=\"dmerc-line-prcng-state-cd-53\"> </a></td><td>Wyoming</td><td>Wyoming</td></tr><tr><td>54<a name=\"dmerc-line-prcng-state-cd-54\"> </a></td><td>Africa</td><td>Africa</td></tr><tr><td>55<a name=\"dmerc-line-prcng-state-cd-55\"> </a></td><td>California</td><td>California</td></tr><tr><td>56<a name=\"dmerc-line-prcng-state-cd-56\"> </a></td><td>Canada &amp; Islands</td><td>Canada &amp; Islands</td></tr><tr><td>57<a name=\"dmerc-line-prcng-state-cd-57\"> </a></td><td>Central America and West Indies</td><td>Central America and West Indies</td></tr><tr><td>58<a name=\"dmerc-line-prcng-state-cd-58\"> </a></td><td>Europe</td><td>Europe</td></tr><tr><td>59<a name=\"dmerc-line-prcng-state-cd-59\"> </a></td><td>Mexico</td><td>Mexico</td></tr><tr><td>60<a name=\"dmerc-line-prcng-state-cd-60\"> </a></td><td>Oceania</td><td>Oceania</td></tr><tr><td>61<a name=\"dmerc-line-prcng-state-cd-61\"> </a></td><td>Philippines</td><td>Philippines</td></tr><tr><td>62<a name=\"dmerc-line-prcng-state-cd-62\"> </a></td><td>South America</td><td>South America</td></tr><tr><td>63<a name=\"dmerc-line-prcng-state-cd-63\"> </a></td><td>U.S. Possessions</td><td>U.S. Possessions</td></tr><tr><td>64<a name=\"dmerc-line-prcng-state-cd-64\"> </a></td><td>American Samoa</td><td>American Samoa</td></tr><tr><td>65<a name=\"dmerc-line-prcng-state-cd-65\"> </a></td><td>Guam</td><td>Guam</td></tr><tr><td>66<a name=\"dmerc-line-prcng-state-cd-66\"> </a></td><td>Commonwealth of the Northern Marianas Islands</td><td>Commonwealth of the Northern Marianas Islands</td></tr><tr><td>67<a name=\"dmerc-line-prcng-state-cd-67\"> </a></td><td>Texas</td><td>Texas</td></tr><tr><td>68<a name=\"dmerc-line-prcng-state-cd-68\"> </a></td><td>Florida (eff. 10/2005)</td><td>Florida (eff. 10/2005)</td></tr><tr><td>69<a name=\"dmerc-line-prcng-state-cd-69\"> </a></td><td>Florida (eff. 10/2005)</td><td>Florida (eff. 10/2005)</td></tr><tr><td>70<a name=\"dmerc-line-prcng-state-cd-70\"> </a></td><td>Kansas (eff. 10/2005)</td><td>Kansas (eff. 10/2005)</td></tr><tr><td>71<a name=\"dmerc-line-prcng-state-cd-71\"> </a></td><td>Louisiana (eff. 10/2005)</td><td>Louisiana (eff. 10/2005)</td></tr><tr><td>72<a name=\"dmerc-line-prcng-state-cd-72\"> </a></td><td>Ohio (eff. 10/2005)</td><td>Ohio (eff. 10/2005)</td></tr><tr><td>73<a name=\"dmerc-line-prcng-state-cd-73\"> </a></td><td>Pennsylvania (eff. 10/2005)</td><td>Pennsylvania (eff. 10/2005)</td></tr><tr><td>74<a name=\"dmerc-line-prcng-state-cd-74\"> </a></td><td>Texas (eff. 10/2005)</td><td>Texas (eff. 10/2005)</td></tr><tr><td>80<a name=\"dmerc-line-prcng-state-cd-80\"> </a></td><td>Maryland (eff. 8/2000)</td><td>Maryland (eff. 8/2000)</td></tr><tr><td>97<a name=\"dmerc-line-prcng-state-cd-97\"> </a></td><td>Northern Marianas</td><td>Northern Marianas</td></tr><tr><td>98<a name=\"dmerc-line-prcng-state-cd-98\"> </a></td><td>Guam</td><td>Guam</td></tr><tr><td>99<a name=\"dmerc-line-prcng-state-cd-99\"> </a></td><td>With 000 county code is American Samoa; otherwise unknown</td><td>With 000 county code is American Samoa; otherwise unknown</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-dmerc-line-prcng-state-cd"];
  fhir:CodeSystem.identifier [
     fhir:Identifier.value [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-dmerc-line-prcng-state-cd.html" ]
  ];
  fhir:CodeSystem.version [ fhir:value "1.1.1"];
  fhir:CodeSystem.name [ fhir:value "DMERC Line Pricing State Code (SSA)"];
  fhir:CodeSystem.title [ fhir:value "DMERC Line Pricing State Code (SSA)"];
  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 2-digit SSA state code where the durable medical equipment (DME) supplier was located; used by the Medicare Administrative Contractor (MAC) for pricing the service. Source: https://bluebutton.cms.gov/resources/variables/dmerc_line_prcng_state_cd"];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [ fhir:value "https://bluebutton.cms.gov/assets/ig/ValueSet-dmerc-line-prcng-state-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 "01" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alabama" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Alabama" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "02" ];
     fhir:CodeSystem.concept.display [ fhir:value "Alaska" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Alaska" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "03" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arizona" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Arizona" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "04" ];
     fhir:CodeSystem.concept.display [ fhir:value "Arkansas" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Arkansas" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "05" ];
     fhir:CodeSystem.concept.display [ fhir:value "California" ];
     fhir:CodeSystem.concept.definition [ fhir:value "California" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "06" ];
     fhir:CodeSystem.concept.display [ fhir:value "Colorado" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Colorado" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "07" ];
     fhir:CodeSystem.concept.display [ fhir:value "Connecticut" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Connecticut" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "08" ];
     fhir:CodeSystem.concept.display [ fhir:value "Delaware" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Delaware" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "09" ];
     fhir:CodeSystem.concept.display [ fhir:value "District of Columbia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "District of Columbia" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "10" ];
     fhir:CodeSystem.concept.display [ fhir:value "Florida" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Florida" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "11" ];
     fhir:CodeSystem.concept.display [ fhir:value "Georgia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Georgia" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "12" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hawaii" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hawaii" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "13" ];
     fhir:CodeSystem.concept.display [ fhir:value "Idaho" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Idaho" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "14" ];
     fhir:CodeSystem.concept.display [ fhir:value "Illinois" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Illinois" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "15" ];
     fhir:CodeSystem.concept.display [ fhir:value "Indiana" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indiana" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "16" ];
     fhir:CodeSystem.concept.display [ fhir:value "Iowa" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Iowa" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "17" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kansas" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kansas" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "18" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kentucky" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kentucky" ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "19" ];
     fhir:CodeSystem.concept.display [ fhir:value "Louisiana" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Louisiana" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "20" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maine" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maine" ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "21" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maryland" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maryland" ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "22" ];
     fhir:CodeSystem.concept.display [ fhir:value "Massachusetts" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Massachusetts" ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "23" ];
     fhir:CodeSystem.concept.display [ fhir:value "Michigan" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Michigan" ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "24" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minnesota" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minnesota" ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "25" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mississippi" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Mississippi" ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "26" ];
     fhir:CodeSystem.concept.display [ fhir:value "Missouri" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Missouri" ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "27" ];
     fhir:CodeSystem.concept.display [ fhir:value "Montana" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Montana" ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "28" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nebraska" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nebraska" ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "29" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nevada" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nevada" ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.concept.code [ fhir:value "30" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Hampshire" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Hampshire" ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.concept.code [ fhir:value "31" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Jersey" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Jersey" ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.concept.code [ fhir:value "32" ];
     fhir:CodeSystem.concept.display [ fhir:value "New Mexico" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New Mexico" ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.concept.code [ fhir:value "33" ];
     fhir:CodeSystem.concept.display [ fhir:value "New York" ];
     fhir:CodeSystem.concept.definition [ fhir:value "New York" ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.concept.code [ fhir:value "34" ];
     fhir:CodeSystem.concept.display [ fhir:value "North Carolina" ];
     fhir:CodeSystem.concept.definition [ fhir:value "North Carolina" ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.concept.code [ fhir:value "35" ];
     fhir:CodeSystem.concept.display [ fhir:value "North Dakota" ];
     fhir:CodeSystem.concept.definition [ fhir:value "North Dakota" ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "36" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ohio" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ohio" ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "37" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oklahoma" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oklahoma" ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "38" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oregon" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oregon" ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "39" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pennsylvania" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Pennsylvania" ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "40" ];
     fhir:CodeSystem.concept.display [ fhir:value "Puerto Rico" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Puerto Rico" ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "41" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rhode Island" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Rhode Island" ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "42" ];
     fhir:CodeSystem.concept.display [ fhir:value "South Carolina" ];
     fhir:CodeSystem.concept.definition [ fhir:value "South Carolina" ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "43" ];
     fhir:CodeSystem.concept.display [ fhir:value "South Dakota" ];
     fhir:CodeSystem.concept.definition [ fhir:value "South Dakota" ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "44" ];
     fhir:CodeSystem.concept.display [ fhir:value "Tennessee" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Tennessee" ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "45" ];
     fhir:CodeSystem.concept.display [ fhir:value "Texas" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Texas" ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "46" ];
     fhir:CodeSystem.concept.display [ fhir:value "Utah" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Utah" ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.concept.code [ fhir:value "47" ];
     fhir:CodeSystem.concept.display [ fhir:value "Vermont" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Vermont" ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.concept.code [ fhir:value "48" ];
     fhir:CodeSystem.concept.display [ fhir:value "Virgin Islands" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Virgin Islands" ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.concept.code [ fhir:value "49" ];
     fhir:CodeSystem.concept.display [ fhir:value "Virginia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Virginia" ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.concept.code [ fhir:value "50" ];
     fhir:CodeSystem.concept.display [ fhir:value "Washington" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Washington" ]
  ], [
     fhir:index 50;
     fhir:CodeSystem.concept.code [ fhir:value "51" ];
     fhir:CodeSystem.concept.display [ fhir:value "West Virginia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "West Virginia" ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.concept.code [ fhir:value "52" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wisconsin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wisconsin" ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.concept.code [ fhir:value "53" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wyoming" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wyoming" ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.concept.code [ fhir:value "54" ];
     fhir:CodeSystem.concept.display [ fhir:value "Africa" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Africa" ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.concept.code [ fhir:value "55" ];
     fhir:CodeSystem.concept.display [ fhir:value "California" ];
     fhir:CodeSystem.concept.definition [ fhir:value "California" ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.concept.code [ fhir:value "56" ];
     fhir:CodeSystem.concept.display [ fhir:value "Canada & Islands" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Canada & Islands" ]
  ], [
     fhir:index 56;
     fhir:CodeSystem.concept.code [ fhir:value "57" ];
     fhir:CodeSystem.concept.display [ fhir:value "Central America and West Indies" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Central America and West Indies" ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.concept.code [ fhir:value "58" ];
     fhir:CodeSystem.concept.display [ fhir:value "Europe" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Europe" ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.concept.code [ fhir:value "59" ];
     fhir:CodeSystem.concept.display [ fhir:value "Mexico" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Mexico" ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.concept.code [ fhir:value "60" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oceania" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oceania" ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.concept.code [ fhir:value "61" ];
     fhir:CodeSystem.concept.display [ fhir:value "Philippines" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Philippines" ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.concept.code [ fhir:value "62" ];
     fhir:CodeSystem.concept.display [ fhir:value "South America" ];
     fhir:CodeSystem.concept.definition [ fhir:value "South America" ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.concept.code [ fhir:value "63" ];
     fhir:CodeSystem.concept.display [ fhir:value "U.S. Possessions" ];
     fhir:CodeSystem.concept.definition [ fhir:value "U.S. Possessions" ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.concept.code [ fhir:value "64" ];
     fhir:CodeSystem.concept.display [ fhir:value "American Samoa" ];
     fhir:CodeSystem.concept.definition [ fhir:value "American Samoa" ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.concept.code [ fhir:value "65" ];
     fhir:CodeSystem.concept.display [ fhir:value "Guam" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Guam" ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.concept.code [ fhir:value "66" ];
     fhir:CodeSystem.concept.display [ fhir:value "Commonwealth of the Northern Marianas Islands" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Commonwealth of the Northern Marianas Islands" ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.concept.code [ fhir:value "67" ];
     fhir:CodeSystem.concept.display [ fhir:value "Texas" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Texas" ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.concept.code [ fhir:value "68" ];
     fhir:CodeSystem.concept.display [ fhir:value "Florida (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Florida (eff. 10/2005)" ]
  ], [
     fhir:index 68;
     fhir:CodeSystem.concept.code [ fhir:value "69" ];
     fhir:CodeSystem.concept.display [ fhir:value "Florida (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Florida (eff. 10/2005)" ]
  ], [
     fhir:index 69;
     fhir:CodeSystem.concept.code [ fhir:value "70" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kansas (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Kansas (eff. 10/2005)" ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.concept.code [ fhir:value "71" ];
     fhir:CodeSystem.concept.display [ fhir:value "Louisiana (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Louisiana (eff. 10/2005)" ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.concept.code [ fhir:value "72" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ohio (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ohio (eff. 10/2005)" ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.concept.code [ fhir:value "73" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pennsylvania (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Pennsylvania (eff. 10/2005)" ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.concept.code [ fhir:value "74" ];
     fhir:CodeSystem.concept.display [ fhir:value "Texas (eff. 10/2005)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Texas (eff. 10/2005)" ]
  ], [
     fhir:index 74;
     fhir:CodeSystem.concept.code [ fhir:value "80" ];
     fhir:CodeSystem.concept.display [ fhir:value "Maryland (eff. 8/2000)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Maryland (eff. 8/2000)" ]
  ], [
     fhir:index 75;
     fhir:CodeSystem.concept.code [ fhir:value "97" ];
     fhir:CodeSystem.concept.display [ fhir:value "Northern Marianas" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Northern Marianas" ]
  ], [
     fhir:index 76;
     fhir:CodeSystem.concept.code [ fhir:value "98" ];
     fhir:CodeSystem.concept.display [ fhir:value "Guam" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Guam" ]
  ], [
     fhir:index 77;
     fhir:CodeSystem.concept.code [ fhir:value "99" ];
     fhir:CodeSystem.concept.display [ fhir:value "With 000 county code is American Samoa; otherwise unknown" ];
     fhir:CodeSystem.concept.definition [ fhir:value "With 000 county code is American Samoa; otherwise unknown" ]
  ].

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

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