{
  "package" : "hl7.fhir.r5.core@5.0.0",
  "definition" : "reduce quality rating by 1.",
  "system" : "http://hl7.org/fhir/certainty-rating",
  "property" : [ ],
  "codesystem" : "3c4de773-d920-56a4-bc5a-55965a252886",
  "concept_id" : "725f503c-013e-58bf-af0a-41d9fdf0c647",
  "ancestors" : {
    "downcode1" : 0
  },
  "id" : "3e0c9a1a-4d77-4601-9407-78de6893b173",
  "code" : "downcode1",
  "display" : "reduce rating: -1",
  "version" : "5.0.0"
}