{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "**Description:** Identifies why a request to update to a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.",
  "system" : "http://terminology.hl7.org/CodeSystem/conceptdomains",
  "property" : [ {
    "code" : "source",
    "valueCode" : "v3"
  }, {
    "code" : "contextBindingR1-valueSet",
    "valueString" : "2.16.840.1.113883.1.11.20346"
  }, {
    "code" : "contextBindingR1-strength",
    "valueCode" : "CWE"
  }, {
    "code" : "contextBindingR1-effectiveDate",
    "valueDateTime" : "2020-01-01"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "ActReason"
  } ],
  "codesystem" : "a4b9689b-4fea-537a-ab56-085748a134dc",
  "concept_id" : "74123af1-5d4e-5d54-a8ca-6926809b807f",
  "ancestors" : {
    "ActReason" : 1,
    "UpdateRefusalReasonCode" : 0
  },
  "id" : "12c9305a-a8e8-44f8-a9b8-90ce91e37920",
  "code" : "UpdateRefusalReasonCode",
  "display" : "UpdateRefusalReasonCode",
  "version" : "3.0.0"
}