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Narrative

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                       Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose.

Source1

{
  "resourceType": "CodeSystem",
  "id": "v3-EntityDeterminer",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "external"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r4.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/v3-EntityDeterminer",
  "version": "2018-08-12",
  "name": "v3.EntityDeterminer",
  "title": "v3 Code System EntityDeterminer",
  "status": "active",
  "experimental": false,
  "date": "2018-08-12T00:00:00+10:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/v3-EntityDeterminer|3.0.0",
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "A property that indicates the status of the concept. One of active, experimental, deprecated, retired",
      "type": "code"
    },
    {
      "code": "deprecationDate",
      "uri": "http://hl7.org/fhir/concept-properties#deprecationDate",
      "description": "The date at which a concept was deprecated. Concepts that are deprecated but not inactive can still be used, but their use is discouraged",
      "type": "dateTime"
    }
  ],
  "concept": [
    {
      "code": "INSTANCE",
      "display": "specific",
      "definition": "Description:A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing).\r\n\n                        \n                           Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose.",
      "concept": [
        {
          "code": "GROUP",
          "display": "specific group",
          "definition": "A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing).  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."
        }
      ]
    },
    {
      "code": "KIND",
      "display": "described",
      "definition": "Description:A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing).",
      "concept": [
        {
          "code": "GROUPKIND",
          "display": "described group",
          "definition": "A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things.  While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals."
        },
        {
          "code": "QUANTIFIED_KIND",
          "display": "described quantified",
          "definition": "The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED_KIND of syringe (quantity = 3,) stands for exactly three syringes.",
          "property": [
            {
              "code": "status",
              "valueCode": "retired"
            },
            {
              "code": "deprecationDate",
              "valueDateTime": "2008-11-14"
            }
          ]
        }
      ]
    }
  ]
}