{
  "package" : "hl7.fhir.r4.core@4.0.1",
  "definition" : "Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality).",
  "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
  "property" : [ ],
  "codesystem" : "3ecb8193-2648-5600-afd5-aaf7d23e8a8b",
  "concept_id" : "e31b2737-0268-595c-be4c-8e0738389f6b",
  "ancestors" : {
    "decrease" : 0
  },
  "id" : "ddd10e32-2847-49d6-b103-2b39cd755b55",
  "code" : "decrease",
  "display" : "Decreased score indicates improvement",
  "version" : "4.0.1"
}