{description: '**Description:** The identifier was issued by the system responsible for constructing the instance.', package_name: hl7.terminology.r3, name: IdentifierReliability, type: null, package_version: 6.3.0, class: unknown, kind: null, url: 'http://terminology.hl7.org/ValueSet/v3-IdentifierReliability', version: 3.0.0}