{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "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\\n                        \\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\\n                        \\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\\n                        \\n                           Examples: \\n                        \\r\\n\\n                        \\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.\\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.\\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#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ActConsentDirective"
  } ],
  "codesystem" : "d73ae040-3e88-581f-8c74-bc9b7419407a",
  "concept_id" : "4d3aa588-b2e1-52bf-8a08-6d5202b7ac26",
  "ancestors" : {
    "OPTOUT" : 0,
    "_ActPolicyType" : 3,
    "_ActPrivacyPolicy" : 2,
    "_ActConsentDirective" : 1
  },
  "id" : "a3e3fe7c-79c4-489f-a227-3880ce91fb7b",
  "code" : "OPTOUT",
  "display" : "op-out",
  "version" : "2018-08-12"
}