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Source1

{
  "resourceType": "CodeSystem",
  "id": "v3-ParticipationSignature",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.5.89"
  },
  "version": "4.0.0",
  "name": "ParticipationSignature",
  "title": "ParticipationSignature",
  "status": "active",
  "experimental": false,
  "date": "2019-03-20",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.\r\n\r\n*Examples:* A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)",
  "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive": true,
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "Designation of a concept's state. Normally is not populated unless the state is retired.",
      "type": "code"
    }
  ],
  "concept": [
    {
      "code": "I",
      "display": "intended",
      "definition": "The particpant intends to provide a signature.",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "S",
      "display": "signed",
      "definition": "Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "code": "X",
      "display": "required",
      "definition": "A signature for the service is required of this actor.",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    }
  ]
}