{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.\\r\\n\\r\\n*Comment:* Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.\\r\\n\\r\\n*Usage Note:* Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered \\\"basic consent\\\".\\r\\n\\r\\n**Examples:** \\r\\n\\r\\n *  Healthcare: A patient \\\\[grantor\\\\] declines to sign a provider's \\\\[grantee's\\\\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting.\\r\\n *  Non-healthcare: An employee \\\\[grantor\\\\] refuses to sign an employer's \\\\[grantee's\\\\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights.\\r\\n *  A citizen \\\\[grantor\\\\] refuses to enroll in mandatory government \\\\[grantee\\\\] health insurance based on religious beliefs, which is an exemption.",
  "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" : "23327"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActConsentDirective"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActDecision"
  } ],
  "codesystem" : "638964c5-6f49-5686-925e-fad50ec626e9",
  "concept_id" : "4d3aa588-b2e1-52bf-8a08-6d5202b7ac26",
  "ancestors" : {
    "OPTOUT" : 0,
    "_ActConsent" : 2,
    "_ActDecision" : 1,
    "_ActPolicyType" : 3,
    "_ActPrivacyPolicy" : 2,
    "_ActConsentDirective" : 1
  },
  "id" : "598802a0-20da-44f6-90d8-d522891ec0e5",
  "code" : "OPTOUT",
  "display" : "op-out",
  "version" : "9.0.0"
}