{description: Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue., package_name: hl7.terminology, name: MeasureImprovementNotation, type: null, package_version: 6.0.2, class: unknown, kind: null, url: 'http://terminology.hl7.org/ValueSet/measure-improvement-notation', version: 1.0.1}