{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ActInvoiceDetailGenericAdjudicatorCode"
  } ],
  "codesystem" : "6064fe67-dfa9-5c7f-9737-99a0909e44de",
  "concept_id" : "48ca8491-5e38-52a7-b47f-21f61d8eaacf",
  "ancestors" : {
    "SPEND" : 0,
    "_ActInvoiceDetailCode" : 3,
    "_ActInvoiceElementCode" : 4,
    "_ActInvoiceDetailGenericCode" : 2,
    "_ActInvoiceDetailGenericAdjudicatorCode" : 1
  },
  "id" : "9574df3f-0483-4932-b4a8-ef815950b0f3",
  "code" : "SPEND",
  "display" : "spend down",
  "version" : "2018-08-12"
}