{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "**Description:**There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-HL7UpdateMode",
  "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" : "22655"
  } ],
  "codesystem" : "97e0b8b9-6cfe-50f1-b103-27fa1cb81958",
  "concept_id" : "3e7745f2-a86c-57ea-82e9-a21b77a15ed6",
  "ancestors" : {
    "N" : 0
  },
  "id" : "c333bd0d-9cfb-4536-b62c-043d6f11756d",
  "code" : "N",
  "display" : "No Change",
  "version" : "3.0.0"
}