{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 2.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "1f9d1816-2655-527a-9d8f-968d3ad009c2",
  "concept_id" : "21ec5e8f-22a5-5ad0-a591-9705692209ce",
  "ancestors" : {
    "downcode2" : 0
  },
  "id" : "096ed9d3-a323-4ece-a8fc-8d51cc3e7072",
  "code" : "downcode2",
  "display" : "reduce rating: -2",
  "version" : "1.0.0"
}