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_R49_DiplomeEtudeSpecialisee - 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-R49-DiplomeEtudeSpecialisee> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "TRE-R49-DiplomeEtudeSpecialisee"] ;
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "5" ] ;
     fhir:Meta.lastUpdated [ fhir:value "2025-07-02T18:18:13.236+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-R49-DiplomeEtudeSpecialisee</b></p><a name=\"TRE-R49-DiplomeEtudeSpecialisee\"> </a><a name=\"hcTRE-R49-DiplomeEtudeSpecialisee\"> </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 : 5; Dernière mise à jour : 2025-07-02 18:18:13+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_R49-DiplomeEtudeSpecialisee/FHIR/TRE-R49-DiplomeEtudeSpecialisee</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\">DSD01<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSD01\"> </a></td><td>DES Orthopédie Dento-Faciale</td><td/><td/><td>2017-10-23T00:00:00+01:00</td><td>2017-10-23T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Ortho Den Fac</td></tr><tr><td style=\"white-space:nowrap\">DSD02<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSD02\"> </a></td><td>DES Médecine Bucco-Dentaire</td><td/><td/><td>2017-10-23T00:00:00+01:00</td><td>2017-10-23T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Med Bucco Den</td></tr><tr><td style=\"white-space:nowrap\">DSM01<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM01\"> </a></td><td>DES Anatomie et Cytologie pathologiques</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Anatomie, Cytologie patho</td></tr><tr><td style=\"white-space:nowrap\">DSM02<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM02\"> </a></td><td>DES Anesthésie-réanimation</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM03<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM03\"> </a></td><td>DES Biologie médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM04<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM04\"> </a></td><td>DES Cardiologie et Maladies vasculaires</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Cardiologie, Maladies vasc</td></tr><tr><td style=\"white-space:nowrap\">DSM05<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM05\"> </a></td><td>DES Chirurgie générale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td>DES Chir générale</td></tr><tr><td style=\"white-space:nowrap\">DSM06<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM06\"> </a></td><td>DES Chirurgie infantile</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td>DES Chir infantile</td></tr><tr><td style=\"white-space:nowrap\">DSM07<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM07\"> </a></td><td>DES Chirurgie maxillo-faciale et Stomatologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir maxillo-fac, Stomato</td></tr><tr><td style=\"white-space:nowrap\">DSM08<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM08\"> </a></td><td>DES Chirurgie orthopédique et Traumatologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir orthop, Traumatologie</td></tr><tr><td style=\"white-space:nowrap\">DSM09<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM09\"> </a></td><td>DES Chirurgie plastique, reconstructrice et esthétique</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir plastiq recon esthét</td></tr><tr><td style=\"white-space:nowrap\">DSM10<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM10\"> </a></td><td>DES Chirurgie thoracique et cardio-vasculaire</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir thoraciq, cardio-vasc</td></tr><tr><td style=\"white-space:nowrap\">DSM11<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM11\"> </a></td><td>DES Chirurgie urologique</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir urologique</td></tr><tr><td style=\"white-space:nowrap\">DSM12<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM12\"> </a></td><td>DES Chirurgie vasculaire</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir vasculaire</td></tr><tr><td style=\"white-space:nowrap\">DSM13<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM13\"> </a></td><td>DES Chirurgie viscérale et digestive</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir viscérale, digestive</td></tr><tr><td style=\"white-space:nowrap\">DSM14<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM14\"> </a></td><td>DES Dermatologie et Vénéréologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Dermatologie, Vénéréologie</td></tr><tr><td style=\"white-space:nowrap\">DSM15<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM15\"> </a></td><td>DES Endocrinologie, diabète, maladies métaboliques</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Endocrino, diab, mal métab</td></tr><tr><td style=\"white-space:nowrap\">DSM16<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM16\"> </a></td><td>DES Gastro-entérologie et Hépatologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Gastro-entéro, Hépatologie</td></tr><tr><td style=\"white-space:nowrap\">DSM17<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM17\"> </a></td><td>DES Génétique médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM18<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM18\"> </a></td><td>DES Gynécologie médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM19<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM19\"> </a></td><td>DES Gynécologie-obstétrique</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM20<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM20\"> </a></td><td>DES Hématologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM21<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM21\"> </a></td><td>DES Hématologie, option Maladies du sang</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Hématologie, opt Mal sang</td></tr><tr><td style=\"white-space:nowrap\">DSM22<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM22\"> </a></td><td>DES Hématologie, option Onco-hématologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Hématologie, opt Onco-héma</td></tr><tr><td style=\"white-space:nowrap\">DSM23<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM23\"> </a></td><td>DES Médecine du travail</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM24<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM24\"> </a></td><td>DES Médecine générale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM25<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM25\"> </a></td><td>DES Médecine interne</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM26<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM26\"> </a></td><td>DES Médecine nucléaire</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM27<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM27\"> </a></td><td>DES Médecine physique et de réadaptation</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Médecine physique, réadapt</td></tr><tr><td style=\"white-space:nowrap\">DSM28<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM28\"> </a></td><td>DES Néphrologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM29<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM29\"> </a></td><td>DES Neuro-chirurgie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM30<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM30\"> </a></td><td>DES Neurologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM31<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM31\"> </a></td><td>DES Neuro-psychiatrie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM32<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM32\"> </a></td><td>DES Oncologie, option Hématologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Oncologie, opt Hématologie</td></tr><tr><td style=\"white-space:nowrap\">DSM33<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM33\"> </a></td><td>DES Oncologie, option Médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM34<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM34\"> </a></td><td>DES Oncologie, option Radio-thérapie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Oncologie, opt Radiothérap</td></tr><tr><td style=\"white-space:nowrap\">DSM35<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM35\"> </a></td><td>DES Ophtalmologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM36<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM36\"> </a></td><td>DES ORL et Chirurgie cervico-faciale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES ORL,Chir cervico-faciale</td></tr><tr><td style=\"white-space:nowrap\">DSM37<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM37\"> </a></td><td>ORL et Chirurgie cervico-faciale</td><td/><td/><td>2007-07-25T15:04:42+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\">DSM38<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM38\"> </a></td><td>Pathologies cardio-vasculaires</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM39<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM39\"> </a></td><td>DES Pédiatrie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM40<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM40\"> </a></td><td>DES Pneumologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM41<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM41\"> </a></td><td>DES Psychiatrie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM42<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM42\"> </a></td><td>Psychiatrie infantile</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM43<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM43\"> </a></td><td>DES Radio-diagnostic et Imagerie médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Radio-diag, Imagerie méd</td></tr><tr><td style=\"white-space:nowrap\">DSM44<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM44\"> </a></td><td>DES Radio-thérapie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM45<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM45\"> </a></td><td>DES Recherche médicale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM46<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM46\"> </a></td><td>DES Rhumatologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM47<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM47\"> </a></td><td>DES Santé publique et Médecine sociale</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Santé publiq, Méd sociale</td></tr><tr><td style=\"white-space:nowrap\">DSM48<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM48\"> </a></td><td>DES Stomatologie</td><td/><td/><td>2007-07-25T15:04:42+01:00</td><td>2011-01-17T11:47:08+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM49<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM49\"> </a></td><td>DES Gynéco-obs et Gynéco-médicale, option Obstétrique</td><td/><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Gyn-obs méd, opt Obs</td></tr><tr><td style=\"white-space:nowrap\">DSM50<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM50\"> </a></td><td>DES Gynéco-obs et Gynéco-médicale, option Gynéco-médicale</td><td/><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td>DES Gyn-obs méd, opt Gyn-méd</td></tr><tr><td style=\"white-space:nowrap\">DSM51<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM51\"> </a></td><td>DES Chirurgie orale</td><td/><td/><td>2015-10-30T00:00:00+01:00</td><td>2015-10-30T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSP04<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP04\"> </a></td><td>DES Biologie médicale</td><td/><td/><td>2007-07-25T00:00:00+01:00</td><td>2016-09-01T00:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">DSP05<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP05\"> </a></td><td>DES Pharmacie et Santé publique</td><td/><td>Déprécié</td><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>deprecated</td><td>DES Pharmacie et Santé publiq</td></tr><tr><td style=\"white-space:nowrap\">DSP06<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP06\"> </a></td><td>DES Pharmacie hospitalière</td><td>DES de pharmacie hospitalière (nouveau régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (premiers diplômés en 2024 pour les options PHG et DSPS, et 2025 pour l'option RPH). Si l'option n'est pas connue, le code du DES de pharmacie hospitalière est DSP06, sinon le code est DSP10, DSP11 ou DSP12.</td><td/><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">DSP07<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP07\"> </a></td><td>DES Pharmacie hospitalière (PHPR)</td><td>DES de pharmacie (ancien régime) option pharmacie hospitalière - pratique et recherche (PH-PR).</td><td>Déprécié</td><td>2007-07-25T15:04:42+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>deprecated</td><td>DES Pharmacie PHPR</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">DSP08<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP08\"> </a></td><td>DES Pharmacie industrielle et biomédicale (PIBM)</td><td>DES de pharmacie (ancien régime) option pharmacie industrielle et biomédicale (PIBM).</td><td>Déprécié</td><td>2016-11-02T00:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>deprecated</td><td>DES Pharmacie PIBM</td></tr><tr style=\"background-color: #ffeeee\"><td style=\"white-space:nowrap\">DSP09<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP09\"> </a></td><td>DES Pharmacie</td><td>DES de pharmacie (ancien régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (derniers diplômés du DES de pharmacie en 2023). Si l'option n'est pas connue, le code du DES de pharmacie est DSP09, sinon le code est DSP07 ou DSP08.</td><td>Déprécié</td><td>2016-11-02T00:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td>deprecated</td><td/></tr><tr><td style=\"white-space:nowrap\">DSP10<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP10\"> </a></td><td>DES Pharmacie hospitalière générale (PHG)</td><td>DES de pharmacie hospitalière (nouveau régime) option Pharmacie Hospitalière Générale (PHG).</td><td/><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pharma Hosp PHG</td></tr><tr><td style=\"white-space:nowrap\">DSP11<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP11\"> </a></td><td>DES Pharmacie hospitalière développement-sécurisation des produits santé (DSPS)</td><td>DES de pharmacie hospitalière (nouveau régime) option Développement et sécurisation des produits de santé (DSPS).</td><td/><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pharma Hosp DSPS</td></tr><tr><td style=\"white-space:nowrap\">DSP12<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSP12\"> </a></td><td>DES Pharmacie hospitalière radiopharmacie (RPH)</td><td>DES de pharmacie hospitalière (nouveau régime) option Radiopharmacie (RPH).</td><td/><td>2021-03-26T12:00:00+01:00</td><td>2021-03-26T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pharma Hosp RPH</td></tr><tr><td style=\"white-space:nowrap\">DSM52<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM52\"> </a></td><td>DES Allergologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM53<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM53\"> </a></td><td>DES Chirurgie maxillo-faciale (réforme 2017)</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir max-fac (2017)</td></tr><tr><td style=\"white-space:nowrap\">DSM54<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM54\"> </a></td><td>DES Chirurgie orthopédique et traumatologique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir ortho trauma</td></tr><tr><td style=\"white-space:nowrap\">DSM55<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM55\"> </a></td><td>DES Endocrinologie-diabétologie-nutrition</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Endo-diabéto-nutri</td></tr><tr><td style=\"white-space:nowrap\">DSM56<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM56\"> </a></td><td>DES Hématologie (réforme 2017)</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Hématologie (2017)</td></tr><tr><td style=\"white-space:nowrap\">DSM57<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM57\"> </a></td><td>DES Hépato-gastro-entérologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Hépato-gastro-entéro</td></tr><tr><td style=\"white-space:nowrap\">DSM58<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM58\"> </a></td><td>DES Maladies infectieuses et tropicales</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Maladies infect trop</td></tr><tr><td style=\"white-space:nowrap\">DSM59<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM59\"> </a></td><td>DES Médecine cardiovasculaire</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Méd cardiovasculaire</td></tr><tr><td style=\"white-space:nowrap\">DSM60<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM60\"> </a></td><td>DES Médecine d'urgence</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM61<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM61\"> </a></td><td>DES Médecine et santé au travail</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Méd santé travail</td></tr><tr><td style=\"white-space:nowrap\">DSM62<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM62\"> </a></td><td>DES Médecine intensive-réanimation</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES MIR</td></tr><tr><td style=\"white-space:nowrap\">DSM63<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM63\"> </a></td><td>DES Médecine interne et immunologie clinique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Méd int immuno clin</td></tr><tr><td style=\"white-space:nowrap\">DSM64<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM64\"> </a></td><td>DES Médecine légale et expertises médicales</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Méd légale exp méd</td></tr><tr><td style=\"white-space:nowrap\">DSM65<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM65\"> </a></td><td>DES Médecine vasculaire</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM66<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM66\"> </a></td><td>DES Radiologie et imagerie médicale</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Radiologie imag méd</td></tr><tr><td style=\"white-space:nowrap\">DSM67<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM67\"> </a></td><td>DES Santé publique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM68<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM68\"> </a></td><td>DES Urologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr><tr><td style=\"white-space:nowrap\">DSM69<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM69\"> </a></td><td>DES Anesthésie-réanimation opt réanim-pédiatrique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Anesth-réa pédia</td></tr><tr><td style=\"white-space:nowrap\">DSM70<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM70\"> </a></td><td>DES Biologie médicale option agents infectieux</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio agents infect</td></tr><tr><td style=\"white-space:nowrap\">DSM71<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM71\"> </a></td><td>DES Biologie médicale option biologie générale</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio générale</td></tr><tr><td style=\"white-space:nowrap\">DSM72<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM72\"> </a></td><td>DES Biologie médic opt hématologie et immunologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio hémato immuno</td></tr><tr><td style=\"white-space:nowrap\">DSM73<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM73\"> </a></td><td>DES Biologie médic opt méd moléc génétique pharmac</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd mol gén phar</td></tr><tr><td style=\"white-space:nowrap\">DSM74<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM74\"> </a></td><td>DES Biologie médic opt biologie de la reproduction</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio reproduction</td></tr><tr><td style=\"white-space:nowrap\">DSM75<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM75\"> </a></td><td>DES Chir maxillo-faciale opt orthod dysmo max-fac</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES CMF orthod dysm m-f</td></tr><tr><td style=\"white-space:nowrap\">DSM76<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM76\"> </a></td><td>DES Chirurgie viscérale et digestive opt endo chir</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir visc dig endo</td></tr><tr><td style=\"white-space:nowrap\">DSM77<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM77\"> </a></td><td>DES Chir pédiatrique opt orthopédie pédiatrique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir pédia ortho</td></tr><tr><td style=\"white-space:nowrap\">DSM78<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM78\"> </a></td><td>DES Chir pédiatrique opt chir visc pédiatrique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Chir pédia visc</td></tr><tr><td style=\"white-space:nowrap\">DSM79<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM79\"> </a></td><td>DES Méd cardiovascul opt card intervention adulte</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-10-30T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Cardio interv ad</td></tr><tr><td style=\"white-space:nowrap\">DSM80<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM80\"> </a></td><td>DES Méd cardiovascul opt imagerie cardio d'expert.</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Cardio imag expert</td></tr><tr><td style=\"white-space:nowrap\">DSM81<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM81\"> </a></td><td>DES Méd cardiovascul opt rythmo inter stimu card</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Cardio rythmo stimu</td></tr><tr><td style=\"white-space:nowrap\">DSM82<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM82\"> </a></td><td>DES Méd intensive-réanimation opt réa pédiatrique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES MIR réa pédiatrique</td></tr><tr><td style=\"white-space:nowrap\">DSM83<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM83\"> </a></td><td>DES Néphrologie opt soins intensifs néphrologiques</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Néphro soins int</td></tr><tr><td style=\"white-space:nowrap\">DSM84<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM84\"> </a></td><td>DES Neurolog opt trait interv ischémie céréb aigüe</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Neuro trait isch cér</td></tr><tr><td style=\"white-space:nowrap\">DSM85<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM85\"> </a></td><td>DES Oncologie option oncologie médicale</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Onco médicale</td></tr><tr><td style=\"white-space:nowrap\">DSM86<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM86\"> </a></td><td>DES Oncologie option oncologie radiothérapie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Onco radiothérapie</td></tr><tr><td style=\"white-space:nowrap\">DSM87<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM87\"> </a></td><td>DES Ophtalmo opt chir ophtalmopéd strabologique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Ophta chir péd strab</td></tr><tr><td style=\"white-space:nowrap\">DSM88<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM88\"> </a></td><td>DES ORL - chir cervico-faciale opt audiophonologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES ORL-CCF audiophono</td></tr><tr><td style=\"white-space:nowrap\">DSM89<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM89\"> </a></td><td>DES Pédiatrie option néonatologie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pédiatrie néonat</td></tr><tr><td style=\"white-space:nowrap\">DSM90<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM90\"> </a></td><td>DES Pédiatrie option neuropédiatrie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pédiatrie neuropéd</td></tr><tr><td style=\"white-space:nowrap\">DSM91<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM91\"> </a></td><td>DES Pédiatrie option pneumopédiatrie</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pédiatrie pneumopéd</td></tr><tr><td style=\"white-space:nowrap\">DSM92<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM92\"> </a></td><td>DES Pédiatrie option réanimation pédiatrique</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pédiatrie réa péd</td></tr><tr><td style=\"white-space:nowrap\">DSM93<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM93\"> </a></td><td>DES Pneumologie opt soins intensifs respiratoires</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Pneumo soins int</td></tr><tr><td style=\"white-space:nowrap\">DSM94<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM94\"> </a></td><td>DES Psychiatrie option enfant et adolescent</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Psy enfant ado</td></tr><tr><td style=\"white-space:nowrap\">DSM95<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM95\"> </a></td><td>DES Psychiatrie opt psychiatrie personne âgée</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Psy personne âgée</td></tr><tr><td style=\"white-space:nowrap\">DSM96<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM96\"> </a></td><td>DES Radiologie imagerie médic opt radio inter av</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Radiologie inter av</td></tr><tr><td style=\"white-space:nowrap\">DSM97<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM97\"> </a></td><td>DES Santé publique opt administration de la santé</td><td/><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Santé publique admin</td></tr><tr><td style=\"white-space:nowrap\">DSM98<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM98\"> </a></td><td>DES Biologie méd opt bactério, virologie, hygiène</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd bactério</td></tr><tr><td style=\"white-space:nowrap\">DSM99<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM99\"> </a></td><td>DES Biologie méd opt biochimie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd biochim</td></tr><tr><td style=\"white-space:nowrap\">DSM100<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM100\"> </a></td><td>DES Biologie méd opt biologie de la reproduction</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd reproduc</td></tr><tr><td style=\"white-space:nowrap\">DSM101<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM101\"> </a></td><td>DES Biologie méd opt génétique</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd génétiq</td></tr><tr><td style=\"white-space:nowrap\">DSM102<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM102\"> </a></td><td>DES Biologie méd opt hématologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd hémato</td></tr><tr><td style=\"white-space:nowrap\">DSM103<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM103\"> </a></td><td>DES Biologie méd opt immunologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd immuno</td></tr><tr><td style=\"white-space:nowrap\">DSM104<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM104\"> </a></td><td>DES Biologie méd opt parasitologie-mycologie, risq</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd parasito</td></tr><tr><td style=\"white-space:nowrap\">DSM105<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM105\"> </a></td><td>DES Biologie méd opt pharmacologie-toxicologie</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd pharmaco</td></tr><tr><td style=\"white-space:nowrap\">DSM106<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM106\"> </a></td><td>DES Biologie méd opt thérapie cellulaire-génique</td><td>Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)</td><td/><td>2023-03-31T12:00:00+01:00</td><td>2023-03-31T12:00:00+01:00</td><td/><td/><td>active</td><td>DES Bio méd thérapie</td></tr><tr><td style=\"white-space:nowrap\">DSM412<a name=\"TRE-R49-DiplomeEtudeSpecialisee-DSM412\"> </a></td><td>DES Gériatrie</td><td>La Gériatrie était un DESC 2 donnant droit à la spécialité ; depuis la réforme de 2017, la Gériatrie est devenue un DES</td><td/><td>2024-05-31T12:00:00+01:00</td><td>2024-05-31T12:00:00+01:00</td><td/><td/><td>active</td><td/></tr></table></div>"
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     fhir:CodeSystem.concept.code [ fhir:value "DSM06" ] ;
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       fhir:CodeSystem.concept.designation.language [ fhir:value "fr-FR" ] ;
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     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM07" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie maxillo-faciale et Stomatologie" ] ;
     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 "DES Chir maxillo-fac, Stomato" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM08" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie orthopédique et Traumatologie" ] ;
     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 "DES 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 "2007-07-25T15:04:42+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 "DSM09" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie plastique, reconstructrice et esthétique" ] ;
     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 "DES Chir plastiq recon esthét" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM10" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie thoracique et cardio-vasculaire" ] ;
     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 "DES Chir thoraciq, cardio-vasc" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM11" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie urologique" ] ;
     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 "DES Chir urologique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM12" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie vasculaire" ] ;
     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 "DES Chir vasculaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM13" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie viscérale et digestive" ] ;
     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 "DES 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 "2007-07-25T15:04:42+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 "DSM14" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Dermatologie et Vénéréologie" ] ;
     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 "DES Dermatologie, Vénéréologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM15" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Endocrinologie, diabète, maladies métaboliques" ] ;
     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 "DES Endocrino, diab, mal métab" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM16" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gastro-entérologie et Hépatologie" ] ;
     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 "DES 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 "2007-07-25T15:04:42+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 "DSM17" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Génétique médicale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM18" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gynécologie médicale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM19" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gynécologie-obstétrique" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM20" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Hématologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM21" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Hématologie, option Maladies du sang" ] ;
     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 "DES Hématologie, opt Mal sang" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM22" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Hématologie, option Onco-hématologie" ] ;
     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 "DES Hématologie, opt Onco-héma" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM23" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES 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 "2007-07-25T15:04:42+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 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM24" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine générale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM25" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine interne" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM26" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine nucléaire" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM27" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine physique et de réadaptation" ] ;
     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 "DES 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 "2007-07-25T15:04:42+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 29 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM28" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Néphrologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM29" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Neuro-chirurgie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM30" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Neurologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM31" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Neuro-psychiatrie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 33 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM32" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Oncologie, option Hématologie" ] ;
     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 "DES Oncologie, opt Hématologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 34 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM33" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Oncologie, option Médicale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 35 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM34" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Oncologie, option Radio-thérapie" ] ;
     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 "DES Oncologie, opt Radiothérap" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 36 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM35" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Ophtalmologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM36" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES ORL et Chirurgie cervico-faciale" ] ;
     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 "DES 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 "2007-07-25T15:04:42+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 38 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM37" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ORL et Chirurgie cervico-faciale" ] ;
     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 "2007-07-25T15:04:42+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 39 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM38" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pathologies cardio-vasculaires" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 40 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM39" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pédiatrie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM40" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pneumologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM41" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Psychiatrie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM42" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Psychiatrie infantile" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM43" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Radio-diagnostic et Imagerie médicale" ] ;
     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 "DES Radio-diag, Imagerie méd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 "DSM44" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Radio-thérapie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM45" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Recherche médicale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 47 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM46" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Rhumatologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM47" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Santé publique et Médecine sociale" ] ;
     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 "DES Santé publiq, Méd sociale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+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 49 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM48" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Stomatologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2011-01-17T11:47:08+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 "DSM49" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gynéco-obs et Gynéco-médicale, option Obstétrique" ] ;
     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 "DES Gyn-obs méd, opt Obs" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T00:00:00+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 51 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM50" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gynéco-obs et Gynéco-médicale, option Gynéco-médicale" ] ;
     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 "DES Gyn-obs 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 "2007-07-25T00:00:00+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 52 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM51" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie orale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2015-10-30T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2015-10-30T00:00:00+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 "DSP04" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médicale" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T00:00:00+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 54 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP05" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie et Santé publique" ] ;
     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 "DES Pharmacie et Santé publiq" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 55 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP06" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie hospitalière" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie hospitalière (nouveau régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (premiers diplômés en 2024 pour les options PHG et DSPS, et 2025 pour l'option RPH). Si l'option n'est pas connue, le code du DES de pharmacie hospitalière est DSP06, sinon le code est DSP10, DSP11 ou DSP12." ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 56 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP07" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie hospitalière (PHPR)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie (ancien régime) option pharmacie hospitalière - pratique et recherche (PH-PR)." ] ;
     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 "DES Pharmacie PHPR" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2007-07-25T15:04:42+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 57 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP08" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie industrielle et biomédicale (PIBM)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie (ancien régime) option pharmacie industrielle et biomédicale (PIBM)." ] ;
     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 "DES Pharmacie PIBM" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-11-02T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 58 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP09" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie (ancien régime) sans mention de l'option. Suite au décret n° 2019-1022 du 4 octobre 2019 portant modification du troisième cycle long des études pharmaceutiques, le DES de pharmacie hospitalière remplace le DES de pharmacie à compter de la rentrée universitaire 2019-2020 (derniers diplômés du DES de pharmacie en 2023). Si l'option n'est pas connue, le code du DES de pharmacie est DSP09, sinon le code est DSP07 ou DSP08." ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2016-11-02T00:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateFin" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 2 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 3 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "deprecationDate" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 59 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP10" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie hospitalière générale (PHG)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie hospitalière (nouveau régime) option Pharmacie Hospitalière Générale (PHG)." ] ;
     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 "DES Pharma Hosp PHG" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 60 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP11" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie hospitalière développement-sécurisation des produits santé (DSPS)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie hospitalière (nouveau régime) option Développement et sécurisation des produits de santé (DSPS)." ] ;
     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 "DES Pharma Hosp DSPS" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 61 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSP12" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pharmacie hospitalière radiopharmacie (RPH)" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "DES de pharmacie hospitalière (nouveau régime) option Radiopharmacie (RPH)." ] ;
     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 "DES Pharma Hosp RPH" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2021-03-26T12:00:00+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 62 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM52" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Allergologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 63 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM53" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie maxillo-faciale (réforme 2017)" ] ;
     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 "DES Chir max-fac (2017)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 64 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM54" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie orthopédique et traumatologique" ] ;
     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 "DES Chir ortho trauma" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 65 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM55" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Endocrinologie-diabétologie-nutrition" ] ;
     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 "DES Endo-diabéto-nutri" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 66 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM56" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Hématologie (réforme 2017)" ] ;
     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 "DES Hématologie (2017)" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 67 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM57" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Hépato-gastro-entérologie" ] ;
     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 "DES Hépato-gastro-entéro" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 68 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM58" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Maladies infectieuses et tropicales" ] ;
     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 "DES Maladies infect trop" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 69 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM59" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine cardiovasculaire" ] ;
     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 "DES Méd cardiovasculaire" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 70 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM60" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES 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 "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 71 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM61" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine et santé au travail" ] ;
     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 "DES Méd santé travail" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 72 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM62" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine intensive-réanimation" ] ;
     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 "DES MIR" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 73 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM63" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine interne et immunologie clinique" ] ;
     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 "DES Méd int immuno clin" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 74 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM64" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine légale et expertises médicales" ] ;
     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 "DES Méd légale exp méd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 75 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM65" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Médecine vasculaire" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 76 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM66" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Radiologie et imagerie médicale" ] ;
     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 "DES Radiologie imag méd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 77 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM67" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Santé publique" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 78 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM68" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Urologie" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 79 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM69" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Anesthésie-réanimation opt réanim-pédiatrique" ] ;
     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 "DES Anesth-réa 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 "DES Anesthésie-réanimation option réanimation-pédiatrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 80 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM70" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médicale option agents infectieux" ] ;
     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 "DES Bio agents infect" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 81 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM71" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médicale option biologie générale" ] ;
     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 "DES Bio générale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM72" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médic opt hématologie et immunologie" ] ;
     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 "DES Bio hémato immuno" ]
     ], [
       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 "DES Biologie médicale option hématologie et immunologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 83 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM73" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médic opt méd moléc génétique pharmac" ] ;
     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 "DES Bio méd mol gén phar" ]
     ], [
       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 "DES Biologie médicale option médecine moléculaire, génétique et pharmacologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM74" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie médic opt biologie de la reproduction" ] ;
     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 "DES Bio reproduction" ]
     ], [
       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 "DES Biologie médicale option biologie de la reproduction" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM75" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chir maxillo-faciale opt orthod dysmo max-fac" ] ;
     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 "DES CMF orthod dysm m-f" ]
     ], [
       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 "DES Chir maxillo-faciale option orthodontie des dysmorphies maxillo-faciales" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM76" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chirurgie viscérale et digestive opt endo chir" ] ;
     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 "DES Chir visc dig endo" ]
     ], [
       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 "DES Chirurgie viscérale et digestive option endoscopie chirurgicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM77" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chir pédiatrique opt orthopédie pédiatrique" ] ;
     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 "DES Chir pédia ortho" ]
     ], [
       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 "DES Chirurgie pédiatrique option orthopédie pédiatrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM78" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Chir pédiatrique opt chir visc pédiatrique" ] ;
     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 "DES Chir pédia visc" ]
     ], [
       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 "DES Chirurgie pédiatrique option chirurgie viscérale pédiatrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM79" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Méd cardiovascul opt card intervention adulte" ] ;
     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 "DES Cardio interv ad" ]
     ], [
       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 "DES Médecine cardiovasculaire option cardiologie interventionnelle de l'adulte" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 90 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM80" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Méd cardiovascul opt imagerie cardio d'expert." ] ;
     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 "DES Cardio imag expert" ]
     ], [
       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 "DES Médecine cardiovasculaire option imagerie cardio d'expert." ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM81" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Méd cardiovascul opt rythmo inter stimu card" ] ;
     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 "DES Cardio rythmo stimu" ]
     ], [
       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 "DES Médecine cardiovasculaire option rythmologie interventionnelle et stimulation cardiaque" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM82" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Méd intensive-réanimation opt réa pédiatrique" ] ;
     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 "DES MIR 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 "DES Médecine intensive-réanimation option réanimation pédiatrique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM83" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Néphrologie opt soins intensifs néphrologiques" ] ;
     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 "DES Néphro soins int" ]
     ], [
       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 "DES Néphrologie option soins intensifs néphrologiques" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM84" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Neurolog opt trait interv ischémie céréb aigüe" ] ;
     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 "DES Neuro trait isch cér" ]
     ], [
       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 "DES Neurologie option traitement interventionnel de l'ischémie cérébrale aigüe" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM85" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Oncologie option oncologie médicale" ] ;
     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 "DES Onco médicale" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM86" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Oncologie option oncologie radiothérapie" ] ;
     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 "DES Onco radiothérapie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM87" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Ophtalmo opt chir ophtalmopéd strabologique" ] ;
     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 "DES Ophta chir péd strab" ]
     ], [
       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 "DES Ophtalmo option chirurgie ophtalmopédiatrique et strabologique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM88" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES ORL - chir cervico-faciale opt audiophonologie" ] ;
     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 "DES ORL-CCF 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 "DES ORL et chirurgie cervico-faciale option audiophonologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM89" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pédiatrie option néonatologie" ] ;
     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 "DES Pédiatrie néonat" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM90" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pédiatrie option neuropédiatrie" ] ;
     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 "DES Pédiatrie neuropéd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM91" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pédiatrie option pneumopédiatrie" ] ;
     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 "DES Pédiatrie pneumopéd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM92" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pédiatrie option réanimation pédiatrique" ] ;
     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 "DES Pédiatrie réa péd" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 "DSM93" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Pneumologie opt soins intensifs respiratoires" ] ;
     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 "DES Pneumo soins int" ]
     ], [
       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 "DES Pneumologie option soins intensifs respiratoires" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 104 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM94" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Psychiatrie option enfant et adolescent" ] ;
     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 "DES Psy enfant ado" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 105 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM95" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Psychiatrie opt psychiatrie personne âgée" ] ;
     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 "DES Psy 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 "DES Psychiatrie option psychiatrie personne âgée" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 106 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM96" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Radiologie imagerie médic opt radio inter av" ] ;
     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 "DES Radiologie inter av" ]
     ], [
       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 "DES Radiologie imagerie médicale option radiologie interventionnelle avancée" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 107 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM97" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Santé publique opt administration de la santé" ] ;
     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 "DES Santé publique admin" ]
     ], [
       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 "DES Santé publique option administration de la santé" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 108 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM98" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt bactério, virologie, hygiène" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd bactério" ]
     ], [
       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 "DES Biologie médicale option bactériologie, virologie et hygiène hospitalière" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 109 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM99" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt biochimie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd biochim" ]
     ], [
       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 "DES Biologie médicale option biochimie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 110 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM100" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt biologie de la reproduction" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd reproduc" ]
     ], [
       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 "DES Biologie médicale option biologie de la reproduction" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 111 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM101" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt génétique" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd génétiq" ]
     ], [
       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 "DES Biologie médicale option biologie génétique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 112 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM102" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt hématologie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd hémato" ]
     ], [
       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 "DES Biologie médicale option hématologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 113 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM103" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt immunologie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd immuno" ]
     ], [
       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 "DES Biologie médicale option immunologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 114 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM104" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt parasitologie-mycologie, risq" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd parasito" ]
     ], [
       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 "DES Biologie médicale option parasitologie-mycologie et risques environnementaux" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 115 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM105" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt pharmacologie-toxicologie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd pharmaco" ]
     ], [
       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 "DES Biologie médicale option pharmacologie-toxicologie" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 116 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM106" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Biologie méd opt thérapie cellulaire-génique" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Bulletin officiel n°19 du 11 mai 2006 (DES antérieur à la réforme de 2017)" ] ;
     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 "DES Bio méd thérapie" ]
     ], [
       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 "DES Biologie médicale option thérapie cellulaire et thérapie génique" ]
     ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+01:00"^^xsd:dateTime ]
     ], [
       fhir:index 1 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateMaj" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2023-03-31T12:00:00+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 117 ;
     fhir:CodeSystem.concept.code [ fhir:value "DSM412" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "DES Gériatrie" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "La Gériatrie était un DESC 2 donnant droit à la spécialité ; depuis la réforme de 2017, la Gériatrie est devenue un DES" ] ;
     fhir:CodeSystem.concept.property [
       fhir:index 0 ;
       fhir:CodeSystem.concept.property.code [ fhir:value "dateValid" ] ;
       fhir:CodeSystem.concept.property.valueDateTime [ fhir:value "2024-05-31T12:00:00+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" ]
     ]
  ] .

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

<http://hl7.org/fhir/CodeSystem/TRE-R49-DiplomeEtudeSpecialisee.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/TRE-R49-DiplomeEtudeSpecialisee.ttl> .