{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.",
  "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" : "22834"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_AppropriatenessDetectedIssueCode"
  } ],
  "codesystem" : "638964c5-6f49-5686-925e-fad50ec626e9",
  "concept_id" : "d5012bc9-3b2f-5561-bcf3-122ebd96b908",
  "ancestors" : {
    "ISSUE" : 4,
    "PREVINEF" : 0,
    "_ObservationType" : 5,
    "_AdministrationDetectedIssueCode" : 2,
    "_ActSuppliedItemDetectedIssueCode" : 3,
    "_AppropriatenessDetectedIssueCode" : 1
  },
  "id" : "c9d8f5b9-3aa9-4722-b8c7-e4f17f067c00",
  "code" : "PREVINEF",
  "display" : "previously ineffective",
  "version" : "9.0.0"
}