{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "**Description:** The school grade or level the patient was in when immunized.",
  "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" : "23245"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_PatientImmunizationRelatedObservationType"
  } ],
  "codesystem" : "cbab4a87-49ca-5502-88d6-f33b5f07237f",
  "concept_id" : "de168577-062b-53f4-94cd-dc832f0a7065",
  "ancestors" : {
    "GRADE" : 0,
    "_ObservationType" : 2,
    "_PatientImmunizationRelatedObservationType" : 1
  },
  "id" : "af0bf2a6-3537-4945-880b-883f8e9897f1",
  "code" : "GRADE",
  "display" : "grade",
  "version" : "9.0.0"
}