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Source1

{
  "resourceType": "CodeSystem",
  "id": "measure-improvement-notation",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4b"
        },
        {
          "url": "version",
          "valueString": "0.0.1-snapshot-2"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cqi"
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
  "version": "0.1.0",
  "name": "MeasureImprovementNotation",
  "title": "MeasureImprovementNotation",
  "status": "draft",
  "experimental": false,
  "date": "2020-04-10T07:10:28+10:00",
  "publisher": "Clinical Quality Information",
  "contact": [
    {
      "name": "Clinical Quality Information",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "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.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/measure-improvement-notation|1.0.1",
  "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)."
    }
  ]
}