{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "Description:The item was (or is to be) either added or replaced.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode",
  "property" : [ ],
  "codesystem" : "eb056541-7b4e-540c-b7cf-e8b3c624d6b2",
  "concept_id" : "d218bb9c-a070-5eaf-ba9d-e516a7eb8d5d",
  "ancestors" : {
    "AR" : 0
  },
  "id" : "3601b8d3-cc76-4c9d-8777-1efe8f4fd24b",
  "code" : "AR",
  "display" : "Add or Replace",
  "version" : "2018-08-12"
}