{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "reduce quality rating by 2.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "ec90eac0-5212-5bee-bf47-15e5bcba956f",
  "concept_id" : "21ec5e8f-22a5-5ad0-a591-9705692209ce",
  "ancestors" : {
    "downcode2" : 0
  },
  "id" : "c50fd0cc-c150-47f7-ab40-c737b33204fb",
  "code" : "downcode2",
  "display" : "reduce rating: -2",
  "version" : "4.0.1"
}