{description: Value Set of codes that specify a type of change being requested (if NMR query) or announced (if NMD unsolicited update)., package_name: hl7.terminology.r4, name: Hl7VSApplicationChangeType, type: null, package_version: 6.0.0, class: unknown, kind: null, url: 'http://terminology.hl7.org/ValueSet/v2-0409', version: 2.0.0}