Quality Measure Implementation Guide (STU5)
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot2: STU5 (v5.0.0) Ballot 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: Improvement Notation Mapping - JSON Representation

Active as of 2021-02-18

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{
  "resourceType" : "ConceptMap",
  "id" : "improvement-notations",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from <a href=\"http://terminology.hl7.org/5.5.0/ValueSet-measure-improvement-notation.html\">MeasureImprovementNotation</a> to (not specified)</p><p>ACTIVE. Published on 2021-02-18 by HL7 International / Clinical Quality Information (<a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/com...</a>). </p><div><p>The mapping of FHIR improvement notation codes to the corresponding HL7 V3 code used in HQMF for each of the improvement notations</p>\n</div><br/><p><b>Group 1</b> Mapping from <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a> to <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ObservationValue.html\">ObservationValue</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>increase (Increased score indicates improvement)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>IncrIsImp (Increased score indicates improvement)</td></tr><tr><td>decrease (Decreased score indicates improvement)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DecrIsImp (Decreased score indicates improvement)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    }
  ],
  "url" : "http://hl7.org/fhir/us/cqfmeasures/ConceptMap/improvement-notations",
  "version" : "1.0.0",
  "name" : "ImprovementNotationMapping",
  "title" : "Improvement Notation Mapping",
  "status" : "active",
  "experimental" : false,
  "date" : "2021-02-18",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "The mapping of FHIR improvement notation codes to the corresponding HL7 V3 code used in HQMF for each of the improvement notations",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "sourceCanonical" : "http://terminology.hl7.org/ValueSet/measure-improvement-notation",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
      "element" : [
        {
          "code" : "increase",
          "display" : "Increased score indicates improvement",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "IncrIsImp",
              "display" : "Increased score indicates improvement",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "decrease",
          "display" : "Decreased score indicates improvement",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "DecrIsImp",
              "display" : "Decreased score indicates improvement",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    }
  ]
}