{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "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" : "22835"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActSuppliedItemDetectedIssueCode"
  } ],
  "codesystem" : "cbab4a87-49ca-5502-88d6-f33b5f07237f",
  "concept_id" : "4c2a46ca-7f90-5a20-bbe1-d3754d085fcb",
  "ancestors" : {
    "ISSUE" : 2,
    "PATPREF" : 0,
    "_ObservationType" : 3,
    "_ActSuppliedItemDetectedIssueCode" : 1
  },
  "id" : "5787131b-45ca-4df8-92fb-ba874e568431",
  "code" : "PATPREF",
  "display" : "violates stated preferences",
  "version" : "9.0.0"
}