{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "An observation identifying a potential adverse outcome as a result of an Act or combination of Acts.\\r\\n\\n                        \\n                           Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria.\\r\\n\\n                        \\n                           Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation.\\r\\n\\n                        \\n                           Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "OBS"
  } ],
  "codesystem" : "b18b382a-b3a7-5aa9-bc9d-94f934d3e36b",
  "concept_id" : "636844c4-5635-505a-affc-c89ec1da4190",
  "ancestors" : {
    "ACT" : 2,
    "OBS" : 1,
    "ALRT" : 0
  },
  "id" : "bbbfb58e-16c4-4167-9cbc-899ccf3a6352",
  "code" : "ALRT",
  "display" : "detected issue",
  "version" : "2018-08-12"
}