{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "The record is already in the requested state.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
  "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" : "23015"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ControlActNullificationRefusalReasonType"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_StatusRevisionRefusalReasonCode"
  } ],
  "codesystem" : "4adb0864-50e2-5536-85c6-525facd8b85b",
  "concept_id" : "b453ddac-54cd-5111-a05e-fdd3446daa54",
  "ancestors" : {
    "INRQSTATE" : 0,
    "_StatusRevisionRefusalReasonCode" : 1,
    "_ControlActNullificationRefusalReasonType" : 1
  },
  "id" : "f31240a2-386c-48ba-a4b1-2b2dad472145",
  "code" : "INRQSTATE",
  "display" : "in requested state",
  "version" : "3.1.0"
}