{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ActAdjudicationResultActionCode"
  } ],
  "codesystem" : "6064fe67-dfa9-5c7f-9737-99a0909e44de",
  "concept_id" : "1ebdfa25-f28c-5ad8-9f97-0d53663cbd87",
  "ancestors" : {
    "FORM" : 0,
    "_ActAdjudicationResultActionCode" : 1
  },
  "id" : "1c68eab3-6306-48f6-8410-0d7c6014d2e7",
  "code" : "FORM",
  "display" : "Print on Form",
  "version" : "2018-08-12"
}