Terminologies de Santé
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Terminologies de Santé - version de développement local (intégration continue v1.10.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

: TRE_R38_SpecialiteOrdinale - TTL Representation

Active as of 2024-05-31

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/CodeSystem/TRE-R38-SpecialiteOrdinale> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "TRE-R38-SpecialiteOrdinale"] ;
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "7" ] ;
     fhir:Meta.lastUpdated [ fhir:value "2025-07-02T18:18:02.679+00:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablecodesystem" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/shareablecodesystem>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Narratif généré : CodeSystem TRE-R38-SpecialiteOrdinale</b></p><a name=\"TRE-R38-SpecialiteOrdinale\"> </a><a name=\"hcTRE-R38-SpecialiteOrdinale\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version : 7; Dernière mise à jour : 2025-07-02 18:18:02+0000</p><p style=\"margin-bottom: 0px\">Profil: <a href=\"http://hl7.org/fhir/R4/shareablecodesystem.html\">Shareable CodeSystem</a></p></div><p><b>Propriétés</b></p><p><b>Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts</b></p><table class=\"grid\"><tr><td><b>Nom</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>dateValid</td><td>dateValid</td><td/><td>dateTime</td><td>date de validité d'un code concept</td></tr><tr><td>dateMaj</td><td>dateMaj</td><td/><td>dateTime</td><td>Date de mise à jour d'un code concept</td></tr><tr><td>dateFin</td><td>dateFin</td><td/><td>dateTime</td><td>Date de fin d'exploitation d'un code concept</td></tr><tr><td>deprecationDate</td><td>deprecationDate</td><td>http://hl7.org/fhir/concept-properties#deprecationDate</td><td>dateTime</td><td>Date Concept was deprecated</td></tr><tr><td>status</td><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>A property that indicates the status of the concept.</td></tr><tr><td>retirementDate</td><td>retirementDate</td><td>http://hl7.org/fhir/concept-properties#retirementDate</td><td>dateTime</td><td>Date Concept was retired</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Affichage</b></td><td><b>Définition</b></td><td><b>Déprécié</b></td><td><b>dateValid</b></td><td><b>dateMaj</b></td><td><b>dateFin</b></td><td><b>deprecationDate</b></td><td><b>status</b></td><td><b>French (France) (fr)</b></td></tr><tr><td style=\"white-space:nowrap\">SCD01<a name=\"TRE-R38-SpecialiteOrdinale-SCD01\"> </a></td><td>Orthopédie dento-faciale (SCD)</td><td/><td/><td>2007-07-26T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Orthopédie dento-faciale</td></tr><tr><td style=\"white-space:nowrap\">SCD02<a name=\"TRE-R38-SpecialiteOrdinale-SCD02\"> </a></td><td>Chirurgie orale (SCD)</td><td/><td/><td>2012-03-19T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chirurgie orale</td></tr><tr><td style=\"white-space:nowrap\">SCD03<a name=\"TRE-R38-SpecialiteOrdinale-SCD03\"> </a></td><td>Médecine bucco-dentaire (SCD)</td><td/><td/><td>2012-03-19T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine bucco-dentaire</td></tr><tr><td style=\"white-space:nowrap\">SI01<a name=\"TRE-R38-SpecialiteOrdinale-SI01\"> </a></td><td>Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)</td><td>Exercice infirmier autorisé en pratique avancée pour les pathologies chroniques stabilisées.  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td/><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>IPA pathologies chroniques</td></tr><tr><td style=\"white-space:nowrap\">SI02<a name=\"TRE-R38-SpecialiteOrdinale-SI02\"> </a></td><td>Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)</td><td>Exercice infirmier autorisé en pratique avancée en oncologie et hémato-oncologie  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td/><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>IPA oncologie</td></tr><tr><td style=\"white-space:nowrap\">SI03<a name=\"TRE-R38-SpecialiteOrdinale-SI03\"> </a></td><td>Exercice infirmier en pratique avancée maladie rénale chronique (SI)</td><td>Exercice infirmier autorisé en pratique avancée en maladie rénale. chronique, dialyse et transplantation rénale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td/><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>IPA maladie rénale</td></tr><tr><td style=\"white-space:nowrap\">SI04<a name=\"TRE-R38-SpecialiteOrdinale-SI04\"> </a></td><td>Exercice infirmier en pratique avancée santé mentale (SI)</td><td>Exercice infirmier autorisé en pratique avancée en santé mentale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier.</td><td/><td>2019-10-25T12:00:00+01:00</td><td>2020-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>IPA santé mentale</td></tr><tr><td style=\"white-space:nowrap\">SI05<a name=\"TRE-R38-SpecialiteOrdinale-SI05\"> </a></td><td>Exercice infirmier en pratique avancée urgences (SI)</td><td>Le décret n°2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers (IPA) dans le domaine d'intervention des urgences a inscrit les « urgences » comme nouveau domaine d'intervention de l'infirmier en pratique avancé. C'est le 5e domaine d'exercice des IPA ainsi acté (après pathologies chroniques stabilisées ; oncologie et hémato-oncologie ; maladie rénale chronique, dialyse et transplantation rénale ; santé mentale).</td><td/><td>2022-08-26T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td/><td>active</td><td>IPA urgences</td></tr><tr><td style=\"white-space:nowrap\">SM01<a name=\"TRE-R38-SpecialiteOrdinale-SM01\"> </a></td><td>Anatomie et Cytologie pathologiques (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Anatomie, Cyto pathologiques</td></tr><tr><td style=\"white-space:nowrap\">SM02<a name=\"TRE-R38-SpecialiteOrdinale-SM02\"> </a></td><td>Anesthésie-réanimation (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Anesthésie-réanimation</td></tr><tr><td style=\"white-space:nowrap\">SM03<a name=\"TRE-R38-SpecialiteOrdinale-SM03\"> </a></td><td>Biologie médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2015-12-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Biologie médicale</td></tr><tr><td style=\"white-space:nowrap\">SM04<a name=\"TRE-R38-SpecialiteOrdinale-SM04\"> </a></td><td>Cardiologie et Maladies vasculaires (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Cardio et Maladies vasculaires</td></tr><tr><td style=\"white-space:nowrap\">SM05<a name=\"TRE-R38-SpecialiteOrdinale-SM05\"> </a></td><td>Chirurgie générale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chirurgie générale</td></tr><tr><td style=\"white-space:nowrap\">SM06<a name=\"TRE-R38-SpecialiteOrdinale-SM06\"> </a></td><td>Chirurgie maxillo-faciale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir maxillo-faciale</td></tr><tr><td style=\"white-space:nowrap\">SM07<a name=\"TRE-R38-SpecialiteOrdinale-SM07\"> </a></td><td>Chirurgie maxillo-faciale et Stomatologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir maxillo-fac, Stomatologie</td></tr><tr><td style=\"white-space:nowrap\">SM08<a name=\"TRE-R38-SpecialiteOrdinale-SM08\"> </a></td><td>Chirurgie orthopédique et Traumatologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir orthop, Traumatologie</td></tr><tr><td style=\"white-space:nowrap\">SM09<a name=\"TRE-R38-SpecialiteOrdinale-SM09\"> </a></td><td>Chirurgie infantile (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chirurgie infantile</td></tr><tr><td style=\"white-space:nowrap\">SM10<a name=\"TRE-R38-SpecialiteOrdinale-SM10\"> </a></td><td>Chirurgie plastique reconstructrice et esthétique (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir plast reconstr, esthétiq</td></tr><tr><td style=\"white-space:nowrap\">SM11<a name=\"TRE-R38-SpecialiteOrdinale-SM11\"> </a></td><td>Chirurgie thoracique et cardio-vasculaire (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir thoraciq, cardio-vascul</td></tr><tr><td style=\"white-space:nowrap\">SM12<a name=\"TRE-R38-SpecialiteOrdinale-SM12\"> </a></td><td>Chirurgie urologique (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir urologique</td></tr><tr><td style=\"white-space:nowrap\">SM13<a name=\"TRE-R38-SpecialiteOrdinale-SM13\"> </a></td><td>Chirurgie vasculaire (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir vasculaire</td></tr><tr><td style=\"white-space:nowrap\">SM14<a name=\"TRE-R38-SpecialiteOrdinale-SM14\"> </a></td><td>Chirurgie viscérale et digestive (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Chir viscérale, digestive</td></tr><tr><td style=\"white-space:nowrap\">SM15<a name=\"TRE-R38-SpecialiteOrdinale-SM15\"> </a></td><td>Dermatologie et Vénéréologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Dermatologie, Vénéréologie</td></tr><tr><td style=\"white-space:nowrap\">SM16<a name=\"TRE-R38-SpecialiteOrdinale-SM16\"> </a></td><td>Endocrinologie et Métabolisme (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Endocrinologie, Métabolisme</td></tr><tr><td style=\"white-space:nowrap\">SM17<a name=\"TRE-R38-SpecialiteOrdinale-SM17\"> </a></td><td>Génétique médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Génétique médicale</td></tr><tr><td style=\"white-space:nowrap\">SM18<a name=\"TRE-R38-SpecialiteOrdinale-SM18\"> </a></td><td>Gériatrie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Gériatrie</td></tr><tr><td style=\"white-space:nowrap\">SM19<a name=\"TRE-R38-SpecialiteOrdinale-SM19\"> </a></td><td>Gynécologie médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Gynécologie médicale</td></tr><tr><td style=\"white-space:nowrap\">SM20<a name=\"TRE-R38-SpecialiteOrdinale-SM20\"> </a></td><td>Gynécologie-obstétrique (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Gynécologie-obstétrique</td></tr><tr><td style=\"white-space:nowrap\">SM21<a name=\"TRE-R38-SpecialiteOrdinale-SM21\"> </a></td><td>Hématologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Hématologie</td></tr><tr><td style=\"white-space:nowrap\">SM22<a name=\"TRE-R38-SpecialiteOrdinale-SM22\"> </a></td><td>Hématologie, option Maladie du sang (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Hématologie, opt Maladie sang</td></tr><tr><td style=\"white-space:nowrap\">SM23<a name=\"TRE-R38-SpecialiteOrdinale-SM23\"> </a></td><td>Hématologie, option Onco-hématologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Hématologie, opt Onco-hématol</td></tr><tr><td style=\"white-space:nowrap\">SM24<a name=\"TRE-R38-SpecialiteOrdinale-SM24\"> </a></td><td>Gastro-entérologie et Hépatologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Gastro-entéro, Hépatologie</td></tr><tr><td style=\"white-space:nowrap\">SM25<a name=\"TRE-R38-SpecialiteOrdinale-SM25\"> </a></td><td>Médecine du travail (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine du travail</td></tr><tr><td style=\"white-space:nowrap\">SM26<a name=\"TRE-R38-SpecialiteOrdinale-SM26\"> </a></td><td>Qualifié en Médecine générale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td/><td>active</td><td>Qualifié MG</td></tr><tr><td style=\"white-space:nowrap\">SM27<a name=\"TRE-R38-SpecialiteOrdinale-SM27\"> </a></td><td>Médecine interne (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine interne</td></tr><tr><td style=\"white-space:nowrap\">SM28<a name=\"TRE-R38-SpecialiteOrdinale-SM28\"> </a></td><td>Médecine nucléaire (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine nucléaire</td></tr><tr><td style=\"white-space:nowrap\">SM29<a name=\"TRE-R38-SpecialiteOrdinale-SM29\"> </a></td><td>Médecine physique et de réadaptation (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine physique, réadapt</td></tr><tr><td style=\"white-space:nowrap\">SM30<a name=\"TRE-R38-SpecialiteOrdinale-SM30\"> </a></td><td>Néphrologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Néphrologie</td></tr><tr><td style=\"white-space:nowrap\">SM31<a name=\"TRE-R38-SpecialiteOrdinale-SM31\"> </a></td><td>Neuro-chirurgie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Neuro-chirurgie</td></tr><tr><td style=\"white-space:nowrap\">SM32<a name=\"TRE-R38-SpecialiteOrdinale-SM32\"> </a></td><td>Neurologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Neurologie</td></tr><tr><td style=\"white-space:nowrap\">SM33<a name=\"TRE-R38-SpecialiteOrdinale-SM33\"> </a></td><td>Neuro-psychiatrie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Neuro-psychiatrie</td></tr><tr><td style=\"white-space:nowrap\">SM34<a name=\"TRE-R38-SpecialiteOrdinale-SM34\"> </a></td><td>ORL et Chirurgie cervico-faciale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>ORL, Chir cervico-faciale</td></tr><tr><td style=\"white-space:nowrap\">SM35<a name=\"TRE-R38-SpecialiteOrdinale-SM35\"> </a></td><td>Oncologie, option Onco-hématologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Oncologie, opt Onco-hématolog</td></tr><tr><td style=\"white-space:nowrap\">SM36<a name=\"TRE-R38-SpecialiteOrdinale-SM36\"> </a></td><td>Oncologie, option médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Oncologie, opt médicale</td></tr><tr><td style=\"white-space:nowrap\">SM37<a name=\"TRE-R38-SpecialiteOrdinale-SM37\"> </a></td><td>Oncologie, option radiothérapie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Oncologie, opt radiothérapie</td></tr><tr><td style=\"white-space:nowrap\">SM38<a name=\"TRE-R38-SpecialiteOrdinale-SM38\"> </a></td><td>Ophtalmologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Ophtalmologie</td></tr><tr><td style=\"white-space:nowrap\">SM39<a name=\"TRE-R38-SpecialiteOrdinale-SM39\"> </a></td><td>Oto-rhino-laryngologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>ORL</td></tr><tr><td style=\"white-space:nowrap\">SM40<a name=\"TRE-R38-SpecialiteOrdinale-SM40\"> </a></td><td>Pédiatrie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Pédiatrie</td></tr><tr><td style=\"white-space:nowrap\">SM41<a name=\"TRE-R38-SpecialiteOrdinale-SM41\"> </a></td><td>Pneumologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Pneumologie</td></tr><tr><td style=\"white-space:nowrap\">SM42<a name=\"TRE-R38-SpecialiteOrdinale-SM42\"> </a></td><td>Psychiatrie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Psychiatrie</td></tr><tr><td style=\"white-space:nowrap\">SM43<a name=\"TRE-R38-SpecialiteOrdinale-SM43\"> </a></td><td>Psychiatrie, option enfant et adolescent (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Psychiatrie, opt enfant et ado</td></tr><tr><td style=\"white-space:nowrap\">SM44<a name=\"TRE-R38-SpecialiteOrdinale-SM44\"> </a></td><td>Radio-diagnostic (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Radio-diagnostic</td></tr><tr><td style=\"white-space:nowrap\">SM45<a name=\"TRE-R38-SpecialiteOrdinale-SM45\"> </a></td><td>Radio-thérapie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Radio-thérapie</td></tr><tr><td style=\"white-space:nowrap\">SM46<a name=\"TRE-R38-SpecialiteOrdinale-SM46\"> </a></td><td>Médecine intensive-réanimation (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2018-01-26T12:00:00+01:00</td><td/><td/><td>active</td><td>Médecine intensive-réanimation</td></tr><tr><td style=\"white-space:nowrap\">SM47<a name=\"TRE-R38-SpecialiteOrdinale-SM47\"> </a></td><td>Recherche médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Recherche médicale</td></tr><tr><td style=\"white-space:nowrap\">SM48<a name=\"TRE-R38-SpecialiteOrdinale-SM48\"> </a></td><td>Rhumatologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Rhumatologie</td></tr><tr><td style=\"white-space:nowrap\">SM49<a name=\"TRE-R38-SpecialiteOrdinale-SM49\"> </a></td><td>Santé publique et Médecine sociale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Santé publique, Méd sociale</td></tr><tr><td style=\"white-space:nowrap\">SM50<a name=\"TRE-R38-SpecialiteOrdinale-SM50\"> </a></td><td>Stomatologie (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Stomatologie</td></tr><tr><td style=\"white-space:nowrap\">SM51<a name=\"TRE-R38-SpecialiteOrdinale-SM51\"> </a></td><td>Gynéco-obstétrique et Gynéco-médicale, option Gynéco-obstétrique (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Gyn-obs, Gyn-méd, opt Gyn-obs</td></tr><tr><td style=\"white-space:nowrap\">SM52<a name=\"TRE-R38-SpecialiteOrdinale-SM52\"> </a></td><td>Gynéco-obstétrique et Gynéco-médicale, option Gynéco-médicale (SM)</td><td/><td/><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Gyn-obs, Gyn-méd, opt Gyn-méd</td></tr><tr><td style=\"white-space:nowrap\">SM53<a name=\"TRE-R38-SpecialiteOrdinale-SM53\"> </a></td><td>Spécialiste en Médecine générale (SM)</td><td/><td/><td>2007-07-26T00:00:00+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td/><td>active</td><td>Spécialiste MG</td></tr><tr><td style=\"white-space:nowrap\">SM54<a name=\"TRE-R38-SpecialiteOrdinale-SM54\"> </a></td><td>Médecine générale (SM)</td><td/><td/><td>2008-06-16T00:00:00+01:00</td><td>2008-10-08T00:00:00+01:00</td><td/><td/><td>active</td><td>Médecine générale</td></tr><tr><td style=\"white-space:nowrap\">SM55<a name=\"TRE-R38-SpecialiteOrdinale-SM55\"> </a></td><td>Radio-diagnostic et Radio-thérapie (SM)</td><td/><td/><td>2008-10-08T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>Radio-diag, Radio-thérapie</td></tr><tr><td style=\"white-space:nowrap\">SM56<a name=\"TRE-R38-SpecialiteOrdinale-SM56\"> </a></td><td>Chirurgie orale (SM)</td><td/><td/><td>2016-04-28T00:00:00+01:00</td><td>2016-04-28T00:00:00+01:00</td><td/><td/><td>active</td><td>Chirurgie orale</td></tr><tr><td style=\"white-space:nowrap\">SM57<a name=\"TRE-R38-SpecialiteOrdinale-SM57\"> </a></td><td>Allergologie (SM)</td><td/><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Allergologie</td></tr><tr><td style=\"white-space:nowrap\">SM58<a name=\"TRE-R38-SpecialiteOrdinale-SM58\"> </a></td><td>Maladies infectieuses et tropicales (SM)</td><td/><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Maladies infect. et tropicales</td></tr><tr><td style=\"white-space:nowrap\">SM59<a name=\"TRE-R38-SpecialiteOrdinale-SM59\"> </a></td><td>Médecine d'urgence (SM)</td><td/><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Médecine d'urgence</td></tr><tr><td style=\"white-space:nowrap\">SM60<a name=\"TRE-R38-SpecialiteOrdinale-SM60\"> </a></td><td>Médecine légale et expertises médicales (SM)</td><td/><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Médecine légale &amp; expert. méd.</td></tr><tr><td style=\"white-space:nowrap\">SM61<a name=\"TRE-R38-SpecialiteOrdinale-SM61\"> </a></td><td>Médecine vasculaire (SM)</td><td/><td/><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Médecine vasculaire</td></tr><tr><td style=\"white-space:nowrap\">SM62<a name=\"TRE-R38-SpecialiteOrdinale-SM62\"> </a></td><td>Endocrinologie, diabétologie, nutrition (SM)</td><td/><td/><td>2018-09-28T12:00:00+01:00</td><td>2019-04-26T12:00:00+01:00</td><td/><td/><td>active</td><td>Endocrino-diabéto-nutrition</td></tr><tr><td style=\"white-space:nowrap\">SM63<a name=\"TRE-R38-SpecialiteOrdinale-SM63\"> </a></td><td>Biologie médicale option biologie générale (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Bio méd opt biologie générale</td></tr><tr><td style=\"white-space:nowrap\">SM64<a name=\"TRE-R38-SpecialiteOrdinale-SM64\"> </a></td><td>Biologie médicale option médecine moléculaire, génétique et pharmacologie (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Bio méd opt méd molé géné phar</td></tr><tr><td style=\"white-space:nowrap\">SM65<a name=\"TRE-R38-SpecialiteOrdinale-SM65\"> </a></td><td>Biologie médicale option hématologie et immunologie (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Bio méd opt hémato et immuno</td></tr><tr><td style=\"white-space:nowrap\">SM66<a name=\"TRE-R38-SpecialiteOrdinale-SM66\"> </a></td><td>Biologie médicale option agents infectieux (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Bio méd opt agents infectieux</td></tr><tr><td style=\"white-space:nowrap\">SM67<a name=\"TRE-R38-SpecialiteOrdinale-SM67\"> </a></td><td>Biologie médicale option biologie de la reproduction (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Bio méd opt bio reproduction</td></tr><tr><td style=\"white-space:nowrap\">SM68<a name=\"TRE-R38-SpecialiteOrdinale-SM68\"> </a></td><td>Chirurgie maxillo-faciale (réforme 2017) (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Chir maxillo-faciale (2017)</td></tr><tr><td style=\"white-space:nowrap\">SM69<a name=\"TRE-R38-SpecialiteOrdinale-SM69\"> </a></td><td>Chirurgie pédiatrique option chirurgie viscérale pédiatrique (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Chir pédia opt chir visc pédia</td></tr><tr><td style=\"white-space:nowrap\">SM70<a name=\"TRE-R38-SpecialiteOrdinale-SM70\"> </a></td><td>Chirurgie pédiatrique option orthopédie pédiatrique (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Chir pédia opt orthopéd pédia</td></tr><tr><td style=\"white-space:nowrap\">SM71<a name=\"TRE-R38-SpecialiteOrdinale-SM71\"> </a></td><td>Hématologie (réforme 2017) (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Hématologie (2017)</td></tr><tr><td style=\"white-space:nowrap\">SM72<a name=\"TRE-R38-SpecialiteOrdinale-SM72\"> </a></td><td>Médecine interne et immunologie clinique (SM)</td><td/><td/><td>2019-02-22T12:00:00+01:00</td><td>2019-02-22T12:00:00+01:00</td><td/><td/><td>active</td><td>Méd interne et immuno clinique</td></tr><tr><td style=\"white-space:nowrap\">SM73<a name=\"TRE-R38-SpecialiteOrdinale-SM73\"> </a></td><td>Médecine cardiovasculaire (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Médecine cardiovasculaire</td></tr><tr><td style=\"white-space:nowrap\">SM74<a name=\"TRE-R38-SpecialiteOrdinale-SM74\"> </a></td><td>Radiologie imagerie médicale (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Radiologie &amp; imagerie médicale</td></tr><tr><td style=\"white-space:nowrap\">SM75<a name=\"TRE-R38-SpecialiteOrdinale-SM75\"> </a></td><td>Santé publique (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td/><td>active</td><td>Santé publique</td></tr><tr><td style=\"white-space:nowrap\">SM76<a name=\"TRE-R38-SpecialiteOrdinale-SM76\"> </a></td><td>Anesthésie-réanimation opt anesthésie-pédiatrique (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Anesth-réanim opt anesth-pédia</td></tr><tr><td style=\"white-space:nowrap\">SM77<a name=\"TRE-R38-SpecialiteOrdinale-SM77\"> </a></td><td>Chirurgie maxillo-faciale opt orthod dysmo max-fac (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Chir max-fac opt orthod dysmo</td></tr><tr><td style=\"white-space:nowrap\">SM78<a name=\"TRE-R38-SpecialiteOrdinale-SM78\"> </a></td><td>Chirurgie viscérale et digestive opt endo chir (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Chir visc &amp; dig opt endos chir</td></tr><tr><td style=\"white-space:nowrap\">SM79<a name=\"TRE-R38-SpecialiteOrdinale-SM79\"> </a></td><td>Méd cardiovasculaire opt card interventionnelle (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Méd cardio opt cardio interv</td></tr><tr><td style=\"white-space:nowrap\">SM80<a name=\"TRE-R38-SpecialiteOrdinale-SM80\"> </a></td><td>Méd cardiovasculaire opt imagerie cardio d'expert (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Méd cardio opt img cardio exp</td></tr><tr><td style=\"white-space:nowrap\">SM81<a name=\"TRE-R38-SpecialiteOrdinale-SM81\"> </a></td><td>Méd cardiovasculaire opt rythmo inter stimu card (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Méd cardio opt ryth int &amp; stim</td></tr><tr><td style=\"white-space:nowrap\">SM82<a name=\"TRE-R38-SpecialiteOrdinale-SM82\"> </a></td><td>Médecine intensive-réanimation opt réa pédiatrique (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Méd intens opt réa pédiatrique</td></tr><tr><td style=\"white-space:nowrap\">SM83<a name=\"TRE-R38-SpecialiteOrdinale-SM83\"> </a></td><td>Néphrologie option soins intensifs néphrologiques (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Néphro opt soins intens néphro</td></tr><tr><td style=\"white-space:nowrap\">SM84<a name=\"TRE-R38-SpecialiteOrdinale-SM84\"> </a></td><td>Neurologie opt trait interv ischémie céréb aigüe (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Neuro opt trait ischémie céréb</td></tr><tr><td style=\"white-space:nowrap\">SM85<a name=\"TRE-R38-SpecialiteOrdinale-SM85\"> </a></td><td>Ophtalmologie opt chir ophtalmopéd strabologique (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Ophtalmo opt chir péd &amp; strabo</td></tr><tr><td style=\"white-space:nowrap\">SM86<a name=\"TRE-R38-SpecialiteOrdinale-SM86\"> </a></td><td>ORL - chir cervico-faciale opt audiophonologie (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>ORL &amp; chir c-f opt audiophono</td></tr><tr><td style=\"white-space:nowrap\">SM87<a name=\"TRE-R38-SpecialiteOrdinale-SM87\"> </a></td><td>Pédiatrie option néonatologie (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Pédiatrie opt néonatologie</td></tr><tr><td style=\"white-space:nowrap\">SM88<a name=\"TRE-R38-SpecialiteOrdinale-SM88\"> </a></td><td>Pédiatrie option neuropédiatrie (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Pédiatrie opt neuropédiatrie</td></tr><tr><td style=\"white-space:nowrap\">SM89<a name=\"TRE-R38-SpecialiteOrdinale-SM89\"> </a></td><td>Pédiatrie option pneumopédiatrie (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Pédiatrie opt pneumopédiatrie</td></tr><tr><td style=\"white-space:nowrap\">SM90<a name=\"TRE-R38-SpecialiteOrdinale-SM90\"> </a></td><td>Pédiatrie option réanimation pédiatrique (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Pédiatrie opt réa pédiatrique</td></tr><tr><td style=\"white-space:nowrap\">SM91<a name=\"TRE-R38-SpecialiteOrdinale-SM91\"> </a></td><td>Pneumologie option soins intensifs respiratoires (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Pneumo opt soins intensif resp</td></tr><tr><td style=\"white-space:nowrap\">SM92<a name=\"TRE-R38-SpecialiteOrdinale-SM92\"> </a></td><td>Psychiatrie option enfant et adolescent (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Psychiatrie opt enfant &amp; ado</td></tr><tr><td style=\"white-space:nowrap\">SM93<a name=\"TRE-R38-SpecialiteOrdinale-SM93\"> </a></td><td>Psychiatrie option psychiatrie de la personne âgée (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Psychiatrie opt personne âgée</td></tr><tr><td style=\"white-space:nowrap\">SM94<a name=\"TRE-R38-SpecialiteOrdinale-SM94\"> </a></td><td>Radiologie et imagerie médicale opt radio inter av (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Radio opt intervention avancée</td></tr><tr><td style=\"white-space:nowrap\">SM95<a name=\"TRE-R38-SpecialiteOrdinale-SM95\"> </a></td><td>Santé publique option administration de la santé (SM)</td><td/><td/><td>2023-10-30T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td>Santé publique opt admin santé</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">SP01<a name=\"TRE-R38-SpecialiteOrdinale-SP01\"> </a></td><td>Radio-pharmacie (SP)</td><td/><td>Déprécié</td><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>deprecated</td><td>Radio-pharmacie</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">SP02<a name=\"TRE-R38-SpecialiteOrdinale-SP02\"> </a></td><td>Hygiène (SP)</td><td/><td>Déprécié</td><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>deprecated</td><td>Hygiène</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">SP03<a name=\"TRE-R38-SpecialiteOrdinale-SP03\"> </a></td><td>Pharmacovigilance (SP)</td><td/><td>Déprécié</td><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>deprecated</td><td>Pharmacovigilance</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">SP04<a name=\"TRE-R38-SpecialiteOrdinale-SP04\"> </a></td><td>Hémovigilance (SP)</td><td/><td>Déprécié</td><td>2007-07-26T00:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>2018-03-30T12:00:00+01:00</td><td>deprecated</td><td>Hémovigilance</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod" ] ;
     fhir:Extension.valuePeriod [
       fhir:Period.start [ fhir:value "2015-12-28T00:00:00+01:00"^^xsd:dateTime ]
     ]
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://mos.esante.gouv.fr/NOS/TRE_R38-SpecialiteOrdinale/FHIR/TRE-R38-SpecialiteOrdinale"] ;
  fhir:CodeSystem.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:1.2.250.1.213.2.28" ]
  ] ;
  fhir:CodeSystem.version [ fhir:value "20240531120000"] ;
  fhir:CodeSystem.name [ fhir:value "TRE_R38_SpecialiteOrdinale"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"] ;
  fhir:CodeSystem.description [ fhir:value "Spécialité ordinale"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "FRA" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.property [
     fhir:index 0 ;
     fhir:CodeSystem.property.code [ fhir:value "dateValid" ] ;
     fhir:CodeSystem.property.description [ fhir:value "date de validité d'un code concept" ] ;
     fhir:CodeSystem.property.type [ fhir:value "dateTime" ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.property.code [ fhir:value "dateMaj" ] ;
     fhir:CodeSystem.property.description [ fhir:value "Date de mise à jour d'un code concept" ] ;
     fhir:CodeSystem.property.type [ fhir:value "dateTime" ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.property.code [ fhir:value "dateFin" ] ;
     fhir:CodeSystem.property.description [ fhir:value "Date de fin d'exploitation d'un code concept" ] ;
     fhir:CodeSystem.property.type [ fhir:value "dateTime" ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.property.code [ fhir:value "deprecationDate" ] ;
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#deprecationDate" ] ;
     fhir:CodeSystem.property.description [ fhir:value "Date Concept was deprecated" ] ;
     fhir:CodeSystem.property.type [ fhir:value "dateTime" ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.property.code [ fhir:value "status" ] ;
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ] ;
     fhir:CodeSystem.property.description [ fhir:value "A property that indicates the status of the concept." ] ;
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.property.code [ fhir:value "retirementDate" ] ;
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#retirementDate" ] ;
     fhir:CodeSystem.property.description [ fhir:value "Date Concept was retired" ] ;
     fhir:CodeSystem.property.type [ fhir:value "dateTime" ]
  ] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "SCD01" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Orthopédie dento-faciale (SCD)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Orthopédie dento-faciale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "SCD02" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie orale (SCD)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie orale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2012-03-19T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "SCD03" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine bucco-dentaire (SCD)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine bucco-dentaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2012-03-19T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "SI01" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exercice infirmier en pratique avancée pathologies chroniques stabilisées (SI)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Exercice infirmier autorisé en pratique avancée pour les pathologies chroniques stabilisées.  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier." ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "IPA pathologies chroniques" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-10-25T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2020-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "SI02" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exercice infirmier en pratique avancée oncologie et hémato-oncologie (SI)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Exercice infirmier autorisé en pratique avancée en oncologie et hémato-oncologie  La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier." ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "IPA oncologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-10-25T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2020-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "SI03" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exercice infirmier en pratique avancée maladie rénale chronique (SI)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Exercice infirmier autorisé en pratique avancée en maladie rénale. chronique, dialyse et transplantation rénale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier." ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "IPA maladie rénale" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Exercice infirmier en pratique avancée maladie rénale chronique, dialyse et transplantation rénale (SI)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-10-25T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2020-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "SI04" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exercice infirmier en pratique avancée santé mentale (SI)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Exercice infirmier autorisé en pratique avancée en santé mentale. La notion de spécialité ordinale a été introduite sachant qu'il est nécessaire de distinguer l'exercice d'IPA de celui d'infirmier et que le diplôme ne suffit  pas pour autoriser l'exercice d'IPA. Il faut 3 ans de pratique infirmière pour pouvoir exercer comme IPA; mais le cursus d'IPA peut être accessible dans le prolongement du DE d'infirmier.  Un IPA peut exercer des activités d'IPA dans plusieurs spécialités, mais aussi, plus fréquemment cumuler des activités d'IPA et d'activité d'infirmier polyvalent du niveau du DE Infirmier." ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "IPA santé mentale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-10-25T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2020-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "SI05" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Exercice infirmier en pratique avancée urgences (SI)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Le décret n°2021-1384 du 25 octobre 2021 relatif à l'exercice en pratique avancée de la profession d'infirmiers (IPA) dans le domaine d'intervention des urgences a inscrit les « urgences » comme nouveau domaine d'intervention de l'infirmier en pratique avancé. C'est le 5e domaine d'exercice des IPA ainsi acté (après pathologies chroniques stabilisées ; oncologie et hémato-oncologie ; maladie rénale chronique, dialyse et transplantation rénale ; santé mentale)." ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "IPA urgences" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2022-08-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM01" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Anatomie et Cytologie pathologiques (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Anatomie, Cyto pathologiques" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM02" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Anesthésie-réanimation (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Anesthésie-réanimation" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM03" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Biologie médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2015-12-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM04" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Cardiologie et Maladies vasculaires (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Cardio et Maladies vasculaires" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM05" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie générale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie générale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM06" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie maxillo-faciale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir maxillo-faciale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM07" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie maxillo-faciale et Stomatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir maxillo-fac, Stomatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM08" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie orthopédique et Traumatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir orthop, Traumatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM09" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie infantile (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie infantile" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM10" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie plastique reconstructrice et esthétique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir plast reconstr, esthétiq" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM11" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie thoracique et cardio-vasculaire (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir thoraciq, cardio-vascul" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM12" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie urologique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir urologique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM13" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie vasculaire (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir vasculaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM14" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie viscérale et digestive (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir viscérale, digestive" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM15" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Dermatologie et Vénéréologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Dermatologie, Vénéréologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM16" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Endocrinologie et Métabolisme (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Endocrinologie, Métabolisme" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM17" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Génétique médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Génétique médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM18" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gériatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gériatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM19" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gynécologie médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gynécologie médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM20" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gynécologie-obstétrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gynécologie-obstétrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 28 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM21" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hématologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hématologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 29 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM22" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hématologie, option Maladie du sang (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hématologie, opt Maladie sang" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 30 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM23" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hématologie, option Onco-hématologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hématologie, opt Onco-hématol" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 31 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM24" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gastro-entérologie et Hépatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gastro-entéro, Hépatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 32 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM25" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine du travail (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine du travail" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 33 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM26" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Qualifié en Médecine générale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Qualifié MG" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-10-08T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 34 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM27" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine interne (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine interne" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 35 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM28" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine nucléaire (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine nucléaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 36 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM29" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine physique et de réadaptation (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine physique, réadapt" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 37 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM30" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Néphrologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Néphrologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 38 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM31" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Neuro-chirurgie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Neuro-chirurgie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 39 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM32" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Neurologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Neurologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 40 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM33" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Neuro-psychiatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Neuro-psychiatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 41 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM34" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ORL et Chirurgie cervico-faciale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "ORL, Chir cervico-faciale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 42 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM35" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Oncologie, option Onco-hématologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Oncologie, opt Onco-hématolog" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 43 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM36" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Oncologie, option médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Oncologie, opt médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 44 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM37" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Oncologie, option radiothérapie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Oncologie, opt radiothérapie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 45 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM38" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Ophtalmologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Ophtalmologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 46 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM39" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Oto-rhino-laryngologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "ORL" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 47 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM40" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pédiatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pédiatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 48 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM41" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pneumologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pneumologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 49 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM42" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Psychiatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Psychiatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 50 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM43" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Psychiatrie, option enfant et adolescent (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Psychiatrie, opt enfant et ado" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 51 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM44" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radio-diagnostic (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radio-diagnostic" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 52 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM45" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radio-thérapie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radio-thérapie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 53 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM46" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine intensive-réanimation (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine intensive-réanimation" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-01-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 54 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM47" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Recherche médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Recherche médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 55 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM48" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Rhumatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Rhumatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 56 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM49" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Santé publique et Médecine sociale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Santé publique, Méd sociale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 57 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM50" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Stomatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Stomatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-02-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 58 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM51" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gynéco-obstétrique et Gynéco-médicale, option Gynéco-obstétrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gyn-obs, Gyn-méd, opt Gyn-obs" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 59 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM52" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Gynéco-obstétrique et Gynéco-médicale, option Gynéco-médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Gyn-obs, Gyn-méd, opt Gyn-méd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T16:49:16+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 60 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM53" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Spécialiste en Médecine générale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Spécialiste MG" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-10-08T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 61 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM54" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine générale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine générale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-06-16T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-10-08T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 62 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM55" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radio-diagnostic et Radio-thérapie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radio-diag, Radio-thérapie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2008-10-08T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-09-01T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 63 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM56" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie orale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie orale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-04-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-04-28T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 64 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM57" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Allergologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Allergologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 65 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM58" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Maladies infectieuses et tropicales (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Maladies infect. et tropicales" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 66 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM59" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine d'urgence (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine d'urgence" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 67 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM60" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine légale et expertises médicales (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine légale & expert. méd." ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 68 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM61" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine vasculaire (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine vasculaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 69 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM62" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Endocrinologie, diabétologie, nutrition (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Endocrino-diabéto-nutrition" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-09-28T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-04-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 70 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM63" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale option biologie générale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Bio méd opt biologie générale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 71 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM64" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale option médecine moléculaire, génétique et pharmacologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Bio méd opt méd molé géné phar" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 72 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM65" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale option hématologie et immunologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Bio méd opt hémato et immuno" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 73 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM66" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale option agents infectieux (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Bio méd opt agents infectieux" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 74 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM67" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Biologie médicale option biologie de la reproduction (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Bio méd opt bio reproduction" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 75 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM68" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie maxillo-faciale (réforme 2017) (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir maxillo-faciale (2017)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 76 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM69" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie pédiatrique option chirurgie viscérale pédiatrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir pédia opt chir visc pédia" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 77 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM70" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie pédiatrique option orthopédie pédiatrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir pédia opt orthopéd pédia" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 78 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM71" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hématologie (réforme 2017) (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hématologie (2017)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 79 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM72" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine interne et immunologie clinique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Méd interne et immuno clinique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2019-02-22T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 80 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM73" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine cardiovasculaire (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine cardiovasculaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 81 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM74" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radiologie imagerie médicale (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radiologie & imagerie médicale" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radiologie et imagerie médicale (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 82 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM75" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Santé publique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Santé publique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 83 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM76" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Anesthésie-réanimation opt anesthésie-pédiatrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Anesth-réanim opt anesth-pédia" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Anesthésie-réanimation option anesthésie-pédiatrique (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 84 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM77" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie maxillo-faciale opt orthod dysmo max-fac (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir max-fac opt orthod dysmo" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie maxillo-faciale option orthodontie des dysmorphies maxillo-faciales (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 85 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM78" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chirurgie viscérale et digestive opt endo chir (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chir visc & dig opt endos chir" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Chirurgie viscérale et digestive option endoscopie chirurgicale (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 86 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM79" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Méd cardiovasculaire opt card interventionnelle (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Méd cardio opt cardio interv" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine cardiovasculaire option cardiologie interventionnelle (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 87 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM80" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Méd cardiovasculaire opt imagerie cardio d'expert (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Méd cardio opt img cardio exp" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine cardiovasculaire option imagerie cardio d'expert (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 88 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM81" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Méd cardiovasculaire opt rythmo inter stimu card (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Méd cardio opt ryth int & stim" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine cardiovasculaire option rythmologie interventionnelle et stimulation cardiaque (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 89 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM82" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Médecine intensive-réanimation opt réa pédiatrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Méd intens opt réa pédiatrique" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Médecine intensive-réanimation option réanimation pédiatrique (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 90 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM83" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Néphrologie option soins intensifs néphrologiques (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Néphro opt soins intens néphro" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 91 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM84" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Neurologie opt trait interv ischémie céréb aigüe (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Neuro opt trait ischémie céréb" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Neurologie option traitement interventionnel de l'ischémie cérébrale aigüe (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 92 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM85" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Ophtalmologie opt chir ophtalmopéd strabologique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Ophtalmo opt chir péd & strabo" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Ophtalmo option chirurgie ophtalmopédiatrique et strabologique (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 93 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM86" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ORL - chir cervico-faciale opt audiophonologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "ORL & chir c-f opt audiophono" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "ORL et chirurgie cervico-faciale option audiophonologie (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 94 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM87" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pédiatrie option néonatologie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pédiatrie opt néonatologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 95 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM88" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pédiatrie option neuropédiatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pédiatrie opt neuropédiatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 96 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM89" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pédiatrie option pneumopédiatrie (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pédiatrie opt pneumopédiatrie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 97 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM90" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pédiatrie option réanimation pédiatrique (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pédiatrie opt réa pédiatrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 98 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM91" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pneumologie option soins intensifs respiratoires (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pneumo opt soins intensif resp" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 99 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM92" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Psychiatrie option enfant et adolescent (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Psychiatrie opt enfant & ado" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 100 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM93" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Psychiatrie option psychiatrie de la personne âgée (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Psychiatrie opt personne âgée" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Psychiatrie option psychiatrie personne âgée (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 101 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM94" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radiologie et imagerie médicale opt radio inter av (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radio opt intervention avancée" ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radiologie imagerie médicale option radiologie interventionnelle avancée (SM)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 102 ;
     fhir:CodeSystem.concept.code [ fhir:value "SM95" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Santé publique option administration de la santé (SM)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Santé publique opt admin santé" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-10-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]
     ]
  ], [
     fhir:index 103 ;
     fhir:CodeSystem.concept.code [ fhir:value "SP01" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Radio-pharmacie (SP)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Radio-pharmacie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 4 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "deprecated" ]
     ]
  ], [
     fhir:index 104 ;
     fhir:CodeSystem.concept.code [ fhir:value "SP02" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hygiène (SP)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hygiène" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 4 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "deprecated" ]
     ]
  ], [
     fhir:index 105 ;
     fhir:CodeSystem.concept.code [ fhir:value "SP03" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pharmacovigilance (SP)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Pharmacovigilance" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 4 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "deprecated" ]
     ]
  ], [
     fhir:index 106 ;
     fhir:CodeSystem.concept.code [ fhir:value "SP04" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Hémovigilance (SP)" ] ;
     fhir:CodeSystem.concept.designation [
       fhir:index 0 ;
       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "900000000000013009" ]
       ] ;
       fhir:CodeSystem.concept.designation.value [ fhir:value "Hémovigilance" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-26T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2018-03-30T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 4 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ] ;
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "deprecated" ]
     ]
  ] .

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

<http://hl7.org/fhir/CodeSystem/TRE-R38-SpecialiteOrdinale.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/TRE-R38-SpecialiteOrdinale.ttl> .