{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "reduce quality rating by 1.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "51b985fb-a37f-56c4-a4a0-b6f6edc62db0",
  "concept_id" : "725f503c-013e-58bf-af0a-41d9fdf0c647",
  "ancestors" : {
    "downcode1" : 0
  },
  "id" : "a38c2978-e0f3-4523-a723-899fd8208e67",
  "code" : "downcode1",
  "display" : "reduce rating: -1",
  "version" : "2.0.0"
}