diff --git a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ExampleScenarioRenderer.java b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ExampleScenarioRenderer.java
index 493de71e2..c4ea6a113 100644
--- a/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ExampleScenarioRenderer.java
+++ b/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/renderers/ExampleScenarioRenderer.java
@@ -100,6 +100,8 @@ public class ExampleScenarioRenderer extends TerminologyRenderer {
     int stepCount = 1;
     for (ExampleScenarioProcessStepComponent step: process.getStep()) {
       plantUml += toPlantUml(step, stepPrefix(prefix, step, stepCount), scen, actorsActive, actorKeys);
+      if (step.getPause())
+        plantUml += "... time passes ...\n";
       stepCount++;
     }