{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 1.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "1f9d1816-2655-527a-9d8f-968d3ad009c2",
  "concept_id" : "725f503c-013e-58bf-af0a-41d9fdf0c647",
  "ancestors" : {
    "downcode1" : 0
  },
  "id" : "58185e09-ebf6-4d28-a4c7-3270eace431a",
  "code" : "downcode1",
  "display" : "reduce rating: -1",
  "version" : "1.0.0"
}