{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "Change the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode",
  "property" : [ {
    "code" : "status",
    "valueCode" : "retired"
  }, {
    "code" : "internalId",
    "valueCode" : "10028"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_SetUpdateMode"
  } ],
  "codesystem" : "97e0b8b9-6cfe-50f1-b103-27fa1cb81958",
  "concept_id" : "d8fd3e2d-732b-5abe-a3f0-622c09084015",
  "ancestors" : {
    "ESAC" : 0,
    "_SetUpdateMode" : 1
  },
  "id" : "df0a021f-e165-452d-b2fe-629274f6d2f7",
  "code" : "ESAC",
  "display" : "Set Add or Change",
  "version" : "3.0.0"
}