{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "no change to quality rating.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "51b985fb-a37f-56c4-a4a0-b6f6edc62db0",
  "concept_id" : "34768d2d-b8da-50d5-89b9-bffe86e91783",
  "ancestors" : {
    "no-change" : 0
  },
  "id" : "f85216ca-1703-4d03-b5be-fee51f250b5a",
  "code" : "no-change",
  "display" : "no change to rating",
  "version" : "2.0.0"
}