{
  "package" : "hl7.fhir.r4.examples@4.0.1",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "ec90eac0-5212-5bee-bf47-15e5bcba956f",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "cf33d086-e812-40bb-99b9-0eb0435561fe",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "4.0.1"
}