{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 1.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "71f5fc71-d705-5900-9903-e08fa3783de5",
  "concept_id" : "725f503c-013e-58bf-af0a-41d9fdf0c647",
  "ancestors" : {
    "downcode1" : 0
  },
  "id" : "3e1d3240-9ec0-4cc1-a37d-34ed8e2e7648",
  "code" : "downcode1",
  "display" : "reduce rating: -1",
  "version" : "2.0.0"
}