## Profile Comparison between http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation vs http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation

Left: | CQM Improvement Notation (http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation)
Right: | CQM Improvement Notation (http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation)

### Messages

Information | StructureDefinition.date | Values for date differ: '2024-12-16T21:50:47+00:00' vs '2025-09-11T18:58:45+00:00'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Extension |
copyright |  |
date | 2024-12-16T21:50:47+00:00 | 2025-09-11T18:58:45+00:00 | Values Differ
description | Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range). **Additional Guidance: improvementNotation** `Reference range` with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality to the improvement notation value set. Please provide comments on this additional code and if there are other codes needed in this value set. Please provide comments on this additional code and if there are other codes needed in the improvement notation value set. If an additional code is added to the improvement notation (like normative reference range as suggested), where is guidance about the reference range best included in the specification for implementer use? Some suggestions include: the guidance field, the rate aggregation field or adding an extension to improvementNotation to add text. | Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range). **Additional Guidance: improvementNotation** `Reference range` with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality to the improvement notation value set. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
kind | complex-type |
name | CQMImprovementNotation |
publisher | HL7 International / Clinical Quality Information |
purpose | **Purpose** Measure consumers and implementers must be able to determine how to interpret a measure score. |
status | active |
title | CQM Improvement Notation |
type | Extension |
url | http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation |
version | 1.0.0 |

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | increase | decrease |  | 0..1 | Extension | increase | decrease |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation" |  | 1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation" |
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: ?? (required): Indicates how to interpret the calculated score of the measure |  | 0..1 | CodeableConcept | Value of extension Binding: ?? (required): Indicates how to interpret the calculated score of the measure |
Documentation for this format