{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "4fc9664a-e16f-5f6b-b81b-7c760b80d24c",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "223ea999-f4da-4302-b1c1-cc5871d3c9a4",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "4.0.1"
}