{
  "resourceType": "CodeSystem",
  "id": "v3-ParticipationSignature",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>The narrative has been removed to reduce the size of the distribution of the Hl7.Fhir.Specification library</p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status",
      "valueString": "External"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    }
  ],
  "url": "http://hl7.org/fhir/v3/ParticipationSignature",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.5.89"
  },
  "version": "2016-11-11",
  "name": "v3 Code System ParticipationSignature",
  "status": "active",
  "experimental": false,
  "date": "2016-11-11T00:00:00+00:00",
  "publisher": "HL7, Inc",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        }
      ]
    }
  ],
  "description": "A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.  Examples:\r\nA surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/v3-ParticipationSignature",
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "concept": [
    {
      "code": "I",
      "display": "intended",
      "definition": "The particpant intends to provide a signature."
    },
    {
      "code": "S",
      "display": "signed",
      "definition": "Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText."
    },
    {
      "code": "X",
      "display": "required",
      "definition": "A signature for the service is required of this actor."
    }
  ]
}