http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature|2018-08-12

{
  "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.)",
  "compose" : null,
  "package" : "hl7.fhir.r4.core@4.0.1",
  "date" : "2018-08-11T14:00:00Z",
  "meta" : {
    "lastUpdated" : "2018-08-12T00:00:00.000+10:00"
  },
  "publisher" : "HL7, Inc",
  "content" : "complete",
  "name" : "v3.ParticipationSignature",
  "experimental" : false,
  "resourceType" : "CodeSystem",
  "title" : "v3 Code System ParticipationSignature",
  "supliment" : null,
  "extension" : [ {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "external"
  }, {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0
  } ],
  "status" : "active",
  "hierarchyMeaning" : "is-a",
  "id" : "2a7556be-181a-567c-b32d-6e61a90fadd8",
  "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationSignature",
  "url" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationSignature",
  "identifier" : [ {
    "value" : "urn:oid:2.16.840.1.113883.5.89",
    "system" : "urn:ietf:rfc:3986"
  } ],
  "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."
  } ],
  "caseSensitive" : true,
  "version" : "2018-08-12",
  "contact" : [ {
    "telecom" : [ {
      "value" : "http://hl7.org",
      "system" : "url"
    } ]
  } ]
}