{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : null,
  "system" : "http://terminology.hl7.org/CodeSystem/v2-0535",
  "property" : [ ],
  "codesystem" : "15f0679f-f1b7-5b7b-bba3-1062229dfde5",
  "concept_id" : "c05f12be-4a46-5e97-8502-5a11e2afeca0",
  "ancestors" : {
    "C" : 0
  },
  "id" : "b83ec366-c7b6-4cf2-a95b-da9ac641d815",
  "code" : "C",
  "display" : "Signed CMS-1500 claim form on file, e.g., authorization for release of any medical or other information necessary to process this claim and assignment of benefits.",
  "version" : "2.9"
}