{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "reduce quality rating by 2.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "51b985fb-a37f-56c4-a4a0-b6f6edc62db0",
  "concept_id" : "21ec5e8f-22a5-5ad0-a591-9705692209ce",
  "ancestors" : {
    "downcode2" : 0
  },
  "id" : "20076767-a65b-4a78-a50f-e6b889465a69",
  "code" : "downcode2",
  "display" : "reduce rating: -2",
  "version" : "2.0.0"
}