{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.",
  "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" : "22836"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "PATPREF"
  } ],
  "codesystem" : "3f3ee941-b4ac-567a-82e4-52aefc2cff3b",
  "concept_id" : "0f5cb02e-6c76-5017-9397-e1fcafedf72c",
  "ancestors" : {
    "ISSUE" : 3,
    "PATPREF" : 1,
    "PATPREFALT" : 0,
    "_ObservationType" : 4,
    "_ActSuppliedItemDetectedIssueCode" : 2
  },
  "id" : "fdd26693-182a-4ca6-b0bd-726fd64b5296",
  "code" : "PATPREFALT",
  "display" : "violates stated preferences, alternate available",
  "version" : "9.0.0"
}