{
  "resourceType": "CodeSystem",
  "id": "measure-improvement-notation",
  "meta": {
    "lastUpdated": "2019-11-01T09:29:23.356+11:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cqi"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.4.1395"
    }
  ],
  "version": "4.0.1",
  "name": "MeasureImprovementNotation",
  "title": "MeasureImprovementNotation",
  "status": "draft",
  "experimental": false,
  "date": "2019-11-01T09:29:23+11:00",
  "publisher": "HL7 (FHIR Project)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        },
        {
          "system": "email",
          "value": "fhir@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/measure-improvement-notation",
  "content": "complete",
  "concept": [
    {
      "code": "increase",
      "display": "Increased score indicates improvement",
      "definition": "Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)."
    },
    {
      "code": "decrease",
      "display": "Decreased score indicates improvement",
      "definition": "Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)."
    }
  ]
}