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                       Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:

                    
                       Those properties themselves directly translate to a semantic of "unknown".  (E.g. a local code sent as a translation that conveys 'unknown')
                       Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Source1

{
  "resourceType": "ValueSet",
  "id": "R3-encounter-special-courtesy-for-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "pa"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r3.r4"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/3.0/ImplementationGuide/hl7.fhir.uv.xver-r3.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/3.0/ValueSet/R3-encounter-special-courtesy-for-R4",
  "version": "0.0.1-snapshot-2",
  "name": "R3_encounter_special_courtesy_for_R4",
  "title": "Cross-version VS for R3.SpecialCourtesy for use in FHIR R4",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:35:56.746174+10:00",
  "publisher": "Patient Administration",
  "contact": [
    {
      "name": "Patient Administration",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/pafm"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/encounter-special-courtesy|3.0.2 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R3 to R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/v3/EncounterSpecialCourtesy",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "NRM",
            "display": "normal courtesy"
          },
          {
            "code": "STF",
            "display": "staff"
          }
        ]
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "UNK",
            "display": "unknown"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:35:56.746176+10:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/v3/EncounterSpecialCourtesy",
        "version": "2016-11-11",
        "code": "NRM",
        "display": "normal courtesy"
      },
      {
        "system": "http://hl7.org/fhir/v3/EncounterSpecialCourtesy",
        "version": "2016-11-11",
        "code": "STF",
        "display": "staff"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "UNK",
        "display": "unknown"
      }
    ]
  }
}