{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.  An alternate therapy meeting those constraints is available.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "PATPREF"
  } ],
  "codesystem" : "6064fe67-dfa9-5c7f-9737-99a0909e44de",
  "concept_id" : "0f5cb02e-6c76-5017-9397-e1fcafedf72c",
  "ancestors" : {
    "ISSUE" : 3,
    "PATPREF" : 1,
    "PATPREFALT" : 0,
    "_ObservationType" : 4,
    "_ActSuppliedItemDetectedIssueCode" : 2
  },
  "id" : "b5b7e9c5-6c32-48b2-aaee-6c9195bbf851",
  "code" : "PATPREFALT",
  "display" : "violates stated preferences, alternate available",
  "version" : "2018-08-12"
}