{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "51b985fb-a37f-56c4-a4a0-b6f6edc62db0",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "8fad4cd5-3480-482f-808b-11396bf060c4",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "2.0.0"
}