{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.\\r\\n\\n                        \\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\\n                        \\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\\n                        \\n                           Examples: \\n                        \\r\\n\\n                        \\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.\\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#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ActConsentDirective"
  } ],
  "codesystem" : "6064fe67-dfa9-5c7f-9737-99a0909e44de",
  "concept_id" : "1335d127-03ba-51f1-87d3-fbc28e9dfacc",
  "ancestors" : {
    "OPTOUTE" : 0,
    "_ActPolicyType" : 3,
    "_ActPrivacyPolicy" : 2,
    "_ActConsentDirective" : 1
  },
  "id" : "64a9eaff-e8a7-466d-af29-f26097b70fc2",
  "code" : "OPTOUTE",
  "display" : "opt-out with exceptions",
  "version" : "2018-08-12"
}