{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "A qualitative characteristic of a feature that has changed over time",
  "system" : "http://dicom.nema.org/resources/ontology/DCM",
  "property" : [ ],
  "codesystem" : "5f336dd4-db81-5653-939a-25648922f08e",
  "concept_id" : "3dd6c135-7c87-5780-a475-3b20f7c4f52c",
  "ancestors" : {
    "111049" : 0
  },
  "id" : "bba0c5db-61a0-4346-a209-f6795ea1a78e",
  "code" : "111049",
  "display" : "Qualitative Difference",
  "version" : "01"
}