{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\\r\\n\\r\\n*Comment:* A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.\\r\\n\\r\\n*Usage Note:* Opt-out with exceptions is considered a \\\"granular consent\\\" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.\\r\\n\\r\\n**Examples:** \\r\\n\\r\\n *  Healthcare: A patient \\\\[grantor\\\\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited \\\"time to live\\\" shared secret \\\\[e.g., a token or password\\\\], which the patient can give to a provider when seeking care.\\r\\n *  Non-healthcare: A social media user \\\\[grantor\\\\] dissents from public access to their account, but assents to access to a circle of friends.",
  "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" : "23759"
  }, {
    "_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" : "3f3ee941-b4ac-567a-82e4-52aefc2cff3b",
  "concept_id" : "1335d127-03ba-51f1-87d3-fbc28e9dfacc",
  "ancestors" : {
    "OPTOUTE" : 0,
    "_ActConsent" : 2,
    "_ActDecision" : 1,
    "_ActPolicyType" : 3,
    "_ActPrivacyPolicy" : 2,
    "_ActConsentDirective" : 1
  },
  "id" : "5b4fa508-539d-4f3a-b8fc-374b6ef3ff39",
  "code" : "OPTOUTE",
  "display" : "opt-out with exceptions",
  "version" : "9.0.0"
}