{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "c9f646a2-bc79-5d92-8602-c92aeba53c87",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "1c3efa0d-3032-4b03-9fb9-c213cc6d5fc9",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "1.0.0"
}