{
  "package" : "hl7.fhir.r5.core@5.0.0",
  "definition" : "reduce quality rating by 2.",
  "system" : "http://hl7.org/fhir/certainty-rating",
  "property" : [ ],
  "codesystem" : "3c4de773-d920-56a4-bc5a-55965a252886",
  "concept_id" : "21ec5e8f-22a5-5ad0-a591-9705692209ce",
  "ancestors" : {
    "downcode2" : 0
  },
  "id" : "e9b3a8e2-0827-4422-8bca-14cd378dcd88",
  "code" : "downcode2",
  "display" : "reduce rating: -2",
  "version" : "5.0.0"
}