{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "reduce quality rating by 3.",
  "system" : "http://terminology.hl7.org/CodeSystem/certainty-rating",
  "property" : [ ],
  "codesystem" : "71f5fc71-d705-5900-9903-e08fa3783de5",
  "concept_id" : "fc04299f-a477-51e6-870b-97a892fabbec",
  "ancestors" : {
    "downcode3" : 0
  },
  "id" : "f772f380-e008-443d-8e1c-65f9180dc215",
  "code" : "downcode3",
  "display" : "reduce rating: -3",
  "version" : "2.0.0"
}