{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "reduce quality rating by 1.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "4fc9664a-e16f-5f6b-b81b-7c760b80d24c",
  "concept_id" : "725f503c-013e-58bf-af0a-41d9fdf0c647",
  "ancestors" : {
    "downcode1" : 0
  },
  "id" : "413e32c3-5eeb-40ac-aa0b-8c1bd3d2a124",
  "code" : "downcode1",
  "display" : "reduce rating: -1",
  "version" : "4.0.1"
}