{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "**Description:**The item was (or is to be) either added or replaced.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode",
  "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" : "22654"
  } ],
  "codesystem" : "6c5c16da-8b8a-5525-9ce7-f18357a8eff6",
  "concept_id" : "d218bb9c-a070-5eaf-ba9d-e516a7eb8d5d",
  "ancestors" : {
    "AR" : 0
  },
  "id" : "4b22cb7b-2535-44f6-b0b1-33896f699eb1",
  "code" : "AR",
  "display" : "Add or Replace",
  "version" : "3.0.0"
}