{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.\\r\\n\\r\\n**Example:**Due to temperature exposure.",
  "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" : "21746"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActNoImmunizationReason"
  } ],
  "codesystem" : "fc956078-3bad-5feb-99c4-f335dd622873",
  "concept_id" : "c66ea569-37d6-5213-a11b-af9d1da0bfb2",
  "ancestors" : {
    "VACEFF" : 0,
    "_ActNoImmunizationReason" : 1
  },
  "id" : "4a6fb220-dddd-49af-acea-f224494fa048",
  "code" : "VACEFF",
  "display" : "vaccine efficacy concerns",
  "version" : "3.1.0"
}