{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:\\r\\n\\r\\n *  Medical reasons\\r\\n *  Patient reasons\\r\\n *  System reasons",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationValue",
  "property" : [ {
    "code" : "status",
    "valueCode" : "deprecated"
  }, {
    "code" : "deprecationDate",
    "valueDateTime" : "2013-07-26"
  }, {
    "code" : "internalId",
    "valueCode" : "23046"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_ObservationPopulationInclusion"
  } ],
  "codesystem" : "730c6680-1192-583b-885c-ffeb9abd3fa3",
  "concept_id" : "579e12b3-794c-5751-b051-5707e9a6cd17",
  "ancestors" : {
    "DENEXCEP" : 0,
    "_ObservationPopulationInclusion" : 1
  },
  "id" : "a722efbb-d64b-4f45-8a0f-399f605c1f20",
  "code" : "DENEXCEP",
  "display" : "denominator exceptions",
  "version" : "4.0.0"
}