Snipped for Brevity

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value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Bengalisch" /> </designation> <designation> <language value="da" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Bengalsk" /> </designation> </concept> <concept> <code value="cs" /> <display value="Czech" /> <designation> <language value="en" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Czech" /> </designation> <designation> <language value="nl" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Tsjechisch" /> </designation> <designation> <language value="ru" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="ЧешÑ�кий" /> </designation> <designation> <language value="zh" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="æ�·å…‹è¯­" /> </designation> <designation> <language value="de" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Tschechisch" /> </designation> <designation> <language value="da" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Tjekkisk" /> </designation> </concept> <concept> <code value="da" /> <display value="Danish" /> <designation> <language value="en" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Danish" /> </designation> <designation> <language value="nl" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Deens" /> </designation> <designation> <language value="ru" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="ДатÑ�кий" /> </designation> <designation> <language value="zh" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="丹麦语" /> </designation> <designation> <language value="de" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Dänisch" /> </designation> <designation> <language value="da" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Dansk" /> </designation> </concept> <concept> <code value="de" /> <display value="German" /> <designation> <language value="en" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> 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/> <code value="display" /> </use> <value value="Deutsch (Österreich)" /> </designation> <designation> <language value="da" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Tysk (Østrig" /> </designation> </concept> <concept> <code value="de-CH" /> <display value="German (Switzerland)" /> <designation> <language value="en" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="German (Switzerland)" /> </designation> <designation> <language value="nl" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Duits (Zwitserland)" /> </designation> <designation> <language value="ru" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Ð�емецкий (ШвейцариÑ�)" /> </designation> <designation> 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<system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Engels (Canada)" /> </designation> <designation> <language value="ru" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Ð�нглийÑ�кий (Канада)" /> </designation> <designation> <language value="zh" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="英语 ï¼ˆåŠ æ‹¿å¤§ï¼‰" /> </designation> <designation> <language value="de" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Englisch (Kanada)" /> </designation> <designation> <language value="da" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Engelsk (Canada)" /> </designation> </concept> <concept> <code 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<code value="en-SG" /> <display value="English (Singapore)" /> <designation> <language value="en" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="English (Singapore)" /> </designation> <designation> <language value="nl" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Engels (Singapore)" /> </designation> <designation> <language value="ru" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="Ð�нглийÑ�кий (Сингапур)" /> </designation> <designation> <language value="zh" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> <code value="display" /> </use> <value value="英语 ï¼ˆæ–°åŠ å�¡ï¼‰" /> </designation> <designation> <language value="de" /> <use> <system value="http://terminology.hl7.org/CodeSystem/designation-usage" /> 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