{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 2.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "71f5fc71-d705-5900-9903-e08fa3783de5",
  "concept_id" : "21ec5e8f-22a5-5ad0-a591-9705692209ce",
  "ancestors" : {
    "downcode2" : 0
  },
  "id" : "b88fd309-c55e-4481-9385-1872df669090",
  "code" : "downcode2",
  "display" : "reduce rating: -2",
  "version" : "2.0.0"
}