{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-subcomponent-rating",
  "property" : [ ],
  "codesystem" : "1f9d1816-2655-527a-9d8f-968d3ad009c2",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "d25e79a3-2282-4fac-89ca-22cd5c14585f",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "1.0.0"
}