{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.  An alternate therapy meeting those constraints is available.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "PATPREF"
  } ],
  "codesystem" : "d73ae040-3e88-581f-8c74-bc9b7419407a",
  "concept_id" : "0f5cb02e-6c76-5017-9397-e1fcafedf72c",
  "ancestors" : {
    "ISSUE" : 3,
    "PATPREF" : 1,
    "PATPREFALT" : 0,
    "_ObservationType" : 4,
    "_ActSuppliedItemDetectedIssueCode" : 2
  },
  "id" : "3e1efd68-63a3-420d-a7bf-437b6f4da8c3",
  "code" : "PATPREFALT",
  "display" : "violates stated preferences, alternate available",
  "version" : "2018-08-12"
}