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    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R5-v3-ObservationMeasureType-for-R4</b></p><a name="R5-v3-ObservationMeasureType-for-R4"> </a><a name="hcR5-v3-ObservationMeasureType-for-R4"> </a><p>This value set expansion contains 11 concepts.</p><table class="codes"><tr><td><b>System</b></td><td><b>Version</b></td><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-APPROPRIATE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-APPROPRIATE">APPROPRIATE</a></td><td>appropriate use process measure</td><td><div><p>A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-COMPOSITE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-COMPOSITE">COMPOSITE</a></td><td>composite measure type</td><td><div><p>A measure that is composed from one or more other measures and indicates an overall summary of those measures.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-EFFICIENCY"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-EFFICIENCY">EFFICIENCY</a></td><td>efficiency measure type</td><td><div><p>A measure related to the efficiency of medical treatment.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-EXPERIENCE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-EXPERIENCE">EXPERIENCE</a></td><td>experience measure type</td><td><div><p>A measure related to the level of patient engagement or patient experience of care.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-INTERM-OM"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-INTERM-OM">INTERM-OM</a></td><td>intermediate clinical outcome measure</td><td><div><p>A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-OUTCOME"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-OUTCOME">OUTCOME</a></td><td>outcome measure type</td><td><div><p>A measure that indicates the result of the performance (or non-performance) of a function or process.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PRO-PM"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PRO-PM">PRO-PM</a></td><td>patient reported outcome performance measure</td><td><div><p>A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-PROCESS"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-PROCESS">PROCESS</a></td><td>process measure type</td><td><div><p>A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-RESOURCE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-RESOURCE">RESOURCE</a></td><td>resource use measure type</td><td><div><p>A measure related to the extent of use of clinical resources or cost of care.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-STRUCTURE"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-STRUCTURE">STRUCTURE</a></td><td>structure measure type</td><td><div><p>A measure related to the structure of patient care.</p>
</div></td></tr><tr><td><a name="R5-v3-ObservationMeasureType-for-R4-http://terminology.hl7.org/CodeSystem/v3-ObservationValue-_ObservationMeasureType"> </a><code>http://terminology.hl7.org/CodeSystem/v3-ObservationValue</code></td><td>2.1.0</td><td style="white-space:nowrap">  <a href="CodeSystem-v3-ObservationValue.html#v3-ObservationValue-_ObservationMeasureType">_ObservationMeasureType</a></td><td>ObservationMeasureType</td><td><div><p>Observation values used to indicate what kind of health quality measure is used.</p>
</div></td></tr></table></div>
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  <url value="http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-ObservationMeasureType-for-R4"/>
  <version value="0.1.0"/>
  <name value="R5V3ObservationMeasureTypeForR4"/>
  <title value="Cross-version ValueSet R5.ObservationMeasureType for use in FHIR R4"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-17T21:02:03.8104715+00:00"/>
  <publisher value="FHIR Infrastructure"/>
  <contact>
    <name value="FHIR Infrastructure"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
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  <description value="This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType|2.0.0` for use in FHIR R4."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
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  <purpose value="This value set is part of the cross-version definitions generated to enable use of the&#xD;&#xA;value set `http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType|2.0.0` as defined in FHIR R5&#xD;&#xA;in FHIR R4.&#xD;&#xA;&#xD;&#xA;The source value set is bound to the following FHIR R5 elements:&#xD;&#xA;* &#xD;&#xA;&#xD;&#xA;Note that all concepts are included in this cross-version definition because no concepts have compatible representations&#xD;&#xA;&#xD;&#xA;Following are the generation technical comments:&#xD;&#xA;&#xA;FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4"/>
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    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
      <version value="2.1.0"/>
      <concept>
        <code value="APPROPRIATE"/>
        <display value="appropriate use process measure"/>
      </concept>
      <concept>
        <code value="COMPOSITE"/>
        <display value="composite measure type"/>
      </concept>
      <concept>
        <code value="EFFICIENCY"/>
        <display value="efficiency measure type"/>
      </concept>
      <concept>
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        <display value="experience measure type"/>
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      <concept>
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        <display value="intermediate clinical outcome measure"/>
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      <concept>
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      <concept>
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      <concept>
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        <display value="process measure type"/>
      </concept>
      <concept>
        <code value="RESOURCE"/>
        <display value="resource use measure type"/>
      </concept>
      <concept>
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        <display value="structure measure type"/>
      </concept>
      <concept>
        <code value="_ObservationMeasureType"/>
        <display value="ObservationMeasureType"/>
      </concept>
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    <timestamp value="2026-03-17T21:02:03.8104715+00:00"/>
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      <display value="appropriate use process measure"/>
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    <contains>
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      <version value="2.1.0"/>
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    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
      <version value="2.1.0"/>
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      <display value="efficiency measure type"/>
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    <contains>
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    <contains>
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    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
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    <contains>
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    <contains>
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      <code value="STRUCTURE"/>
      <display value="structure measure type"/>
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    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
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      <code value="_ObservationMeasureType"/>
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