{
  "package" : "hl7.fhir.r5.core@5.0.0",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://hl7.org/fhir/certainty-rating",
  "property" : [ ],
  "codesystem" : "3c4de773-d920-56a4-bc5a-55965a252886",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "d617a805-5d15-4123-b280-6e9e4790517e",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "5.0.0"
}