{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "no change to quality rating.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "1f9d1816-2655-527a-9d8f-968d3ad009c2",
  "concept_id" : "34768d2d-b8da-50d5-89b9-bffe86e91783",
  "ancestors" : {
    "no-change" : 0
  },
  "id" : "21065ef2-895c-41ec-b7a8-897d657f115e",
  "code" : "no-change",
  "display" : "no change to rating",
  "version" : "1.0.0"
}