{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "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).",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "active"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "23431"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ObservationQualityMeasureAttribute"
  } ],
  "codesystem" : "cbab4a87-49ca-5502-88d6-f33b5f07237f",
  "concept_id" : "1f909274-c4bc-5279-a4ea-33796f2ba5e4",
  "ancestors" : {
    "IDUR" : 0,
    "_ObservationType" : 2,
    "_ObservationQualityMeasureAttribute" : 1
  },
  "id" : "29bfbe3d-0583-45ad-83ba-96f66221780a",
  "code" : "IDUR",
  "display" : "improvement notation",
  "version" : "9.0.0"
}