{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy.  I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_SubstanceAdminSubstitutionReason"
  } ],
  "codesystem" : "eb6e9d71-f508-5fd3-a488-c4598109efc0",
  "concept_id" : "fad28aba-84fb-5a01-baf1-ed29e0820fdf",
  "ancestors" : {
    "CT" : 0,
    "_SubstanceAdminSubstitutionReason" : 1
  },
  "id" : "f469a182-0fde-4ca7-b9a7-12973dff8a0e",
  "code" : "CT",
  "display" : "continuing therapy",
  "version" : "2018-08-12"
}