{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "active"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "19989"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_SubstanceAdminSubstitutionReason"
  } ],
  "codesystem" : "4adb0864-50e2-5536-85c6-525facd8b85b",
  "concept_id" : "fad28aba-84fb-5a01-baf1-ed29e0820fdf",
  "ancestors" : {
    "CT" : 0,
    "_SubstanceAdminSubstitutionReason" : 1
  },
  "id" : "286d855d-8eb4-4c29-a25a-2955d8a1ecf5",
  "code" : "CT",
  "display" : "continuing therapy",
  "version" : "3.1.0"
}