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 - XML Representation

Active as of 2021-02-18

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="improvement-notations"/>
  <text>
    <status value="extensions"/>
    <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>
</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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/>
  </extension>
  <url
       value="http://hl7.org/fhir/us/cqfmeasures/ConceptMap/improvement-notations"/>
  <version value="1.0.0"/>
  <name value="ImprovementNotationMapping"/>
  <title value="Improvement Notation Mapping"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2021-02-18"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <sourceCanonical
                   value="http://terminology.hl7.org/ValueSet/measure-improvement-notation"/>
  <group>
    <source
            value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
    <target
            value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
    <element>
      <code value="increase"/>
      <display value="Increased score indicates improvement"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="IncrIsImp"/>
        <display value="Increased score indicates improvement"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="decrease"/>
      <display value="Decreased score indicates improvement"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="DecrIsImp"/>
        <display value="Decreased score indicates improvement"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>