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Source1

{
  "resourceType": "CodeSystem",
  "id": "improvement-notation",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://hl7.org/fhir/us/davinci-deqm/STU3/CodeSystem/improvement-notation",
  "version": "0.1.0",
  "name": "MeasureImprovementNotation",
  "status": "draft",
  "experimental": false,
  "date": "2018-08-14T13:24:35+10:00",
  "publisher": "The Da Vinci Project",
  "contact": [
    {
      "telecom": [
        {
          "system": "url"
        },
        {
          "system": "email"
        }
      ]
    }
  ],
  "description": "Improvement notation for a measure (e.g. increase or decrease)",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/us/davinci-deqm/STU3/ValueSet/improvement-notation",
  "content": "complete",
  "concept": [
    {
      "code": "increase",
      "display": "Increase",
      "definition": "Improvement is notated as an *increase* in the measure score"
    },
    {
      "code": "decrease",
      "display": "Decrease",
      "definition": "Improvement is notated as a *decrease* in the measure score"
    }
  ]
}