<?xml version="1.0" encoding="UTF-8"?><CodeSystem xmlns="http://hl7.org/fhir"><id value="codesystem-hierarchy-meaning"/><meta><lastUpdated value="2026-04-01T17:59:15.240+00:00"/></meta><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem codesystem-hierarchy-meaning</b></p><a name="codesystem-hierarchy-meaning"> </a><a name="hccodesystem-hierarchy-meaning"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/codesystem-hierarchy-meaning</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">grouped-by<a name="codesystem-hierarchy-meaning-grouped-by"> </a></td><td>Grouped By</td><td>No particular relationship between the concepts can be assumed, except what can be determined by inspection of the definitions of the elements (possible reasons to use this: importing from a source where this is not defined, or where various parts of the hierarchy have different meanings).</td></tr><tr><td style="white-space:nowrap">is-a<a name="codesystem-hierarchy-meaning-is-a"> </a></td><td>Is-A</td><td>A hierarchy where the child concepts have an IS-A relationship with the parents - that is, all the properties of the parent are also true for its child concepts. Not that is-a is a property of the concepts, so additional subsumption relationships may be defined using properties.</td></tr><tr><td style="white-space:nowrap">part-of<a name="codesystem-hierarchy-meaning-part-of"> </a></td><td>Part Of</td><td>Child elements list the individual parts of a composite whole (e.g. body site).</td></tr><tr><td style="white-space:nowrap">classified-with<a name="codesystem-hierarchy-meaning-classified-with"> </a></td><td>Classified With</td><td>Child concepts in the hierarchy may have only one parent, and there is a presumption that the code system is a &quot;closed world&quot; meaning all things must be in the hierarchy. This results in concepts such as &quot;not otherwise classified.&quot;.</td></tr></table></div></text><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"><valueCode value="vocab"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"><valueCode value="normative"/></extension><extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"><valueInteger value="5"/></extension><url value="http://hl7.org/fhir/codesystem-hierarchy-meaning"/><identifier><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.4.785"/></identifier><identifier><use value="old"/><system value="urn:ietf:rfc:3986"/><value value="urn:oid:2.16.840.1.113883.4.642.1.768"/></identifier><version value="6.0.0-ballot4"/><name value="CodeSystemHierarchyMeaning"/><title value="Code System Hierarchy Meaning"/><status value="active"/><experimental value="false"/><date value="2021-01-05T10:01:24+11:00"/><publisher value="HL7 International / Terminology Infrastructure"/><contact><telecom><system value="url"/><value value="http://hl7.org/fhir"/></telecom></contact><contact><telecom><system value="url"/><value value="http://www.hl7.org/Special/committees/Vocab/index.cfm"/></telecom></contact><description value="The meaning of the hierarchy of concepts in a code system."/><jurisdiction><coding><system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/><code value="001"/><display value="World"/></coding></jurisdiction><caseSensitive value="true"/><valueSet value="http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning"/><content value="complete"/><concept><code value="grouped-by"/><display value="Grouped By"/><definition value="No particular relationship between the concepts can be assumed, except what can be determined by inspection of the definitions of the elements (possible reasons to use this: importing from a source where this is not defined, or where various parts of the hierarchy have different meanings)."/></concept><concept><code value="is-a"/><display value="Is-A"/><definition value="A hierarchy where the child concepts have an IS-A relationship with the parents - that is, all the properties of the parent are also true for its child concepts. Not that is-a is a property of the concepts, so additional subsumption relationships may be defined using properties."/></concept><concept><code value="part-of"/><display value="Part Of"/><definition value="Child elements list the individual parts of a composite whole (e.g. body site)."/></concept><concept><code value="classified-with"/><display value="Classified With"/><definition value="Child concepts in the hierarchy may have only one parent, and there is a presumption that the code system is a &quot;closed world&quot; meaning all things must be in the hierarchy. This results in concepts such as &quot;not otherwise classified.&quot;."/></concept></CodeSystem>