{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "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#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_AppropriatenessDetectedIssueCode"
  } ],
  "codesystem" : "6064fe67-dfa9-5c7f-9737-99a0909e44de",
  "concept_id" : "d5012bc9-3b2f-5561-bcf3-122ebd96b908",
  "ancestors" : {
    "ISSUE" : 4,
    "PREVINEF" : 0,
    "_ObservationType" : 5,
    "_AdministrationDetectedIssueCode" : 2,
    "_ActSuppliedItemDetectedIssueCode" : 3,
    "_AppropriatenessDetectedIssueCode" : 1
  },
  "id" : "d6f4abc0-570f-4fce-b4c0-75161bf5518b",
  "code" : "PREVINEF",
  "display" : "previously ineffective",
  "version" : "2018-08-12"
}