{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "**Description:** The user does not have permission.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "retired"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "22912"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "NOPERM"
  } ],
  "codesystem" : "fc956078-3bad-5feb-99c4-f335dd622873",
  "concept_id" : "a9fa98f0-4228-524f-8bf4-c77a6dd7068e",
  "ancestors" : {
    "NOPERM" : 1,
    "NOUSRPERM" : 0,
    "_RefusalReasonCode" : 2,
    "_ControlActNullificationRefusalReasonType" : 2
  },
  "id" : "504dc15c-6bfc-4944-aad4-874d14fbd5a4",
  "code" : "NOUSRPERM",
  "display" : "no user permission",
  "version" : "3.1.0"
}