Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Care Gap Remark Code System - JSON Representation

Active as of 2025-04-17

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{
  "resourceType" : "CodeSystem",
  "id" : "care-gap-remark",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem care-gap-remark</b></p><a name=\"care-gap-remark\"> </a><a name=\"hccare-gap-remark\"> </a><a name=\"care-gap-remark-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-deqm/CodeSystem/care-gap-remark</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">order-placed<a name=\"care-gap-remark-order-placed\"> </a></td><td>Order placed</td><td>An order has been placed to address and close the gap</td></tr><tr><td style=\"white-space:nowrap\">satisfied-in-EHR<a name=\"care-gap-remark-satisfied-in-EHR\"> </a></td><td>Satisfied in EHR</td><td>Data already present in the EHR satisfies the open gap.</td></tr><tr><td style=\"white-space:nowrap\">out-of-range<a name=\"care-gap-remark-out-of-range\"> </a></td><td>Out of range</td><td>EHR reports patient condition is not within allowed threshold.</td></tr><tr><td style=\"white-space:nowrap\">patient-refused<a name=\"care-gap-remark-patient-refused\"> </a></td><td>Patient refused</td><td>Patient refused intervention to close the gap.</td></tr><tr><td style=\"white-space:nowrap\">rejected<a name=\"care-gap-remark-rejected\"> </a></td><td>Rejected</td><td>Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time.</td></tr><tr><td style=\"white-space:nowrap\">suppressed<a name=\"care-gap-remark-suppressed\"> </a></td><td>Suppressed</td><td>Presentation of the gap to the provider was suppressed.</td></tr><tr><td style=\"white-space:nowrap\">not-assessed<a name=\"care-gap-remark-not-assessed\"> </a></td><td>Not assessed</td><td>Gap was shown to the provider but no action was taken to assess the gap.</td></tr><tr><td style=\"white-space:nowrap\">not-ingested<a name=\"care-gap-remark-not-ingested\"> </a></td><td>Not ingested</td><td>System cannot process the gap that was received.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/care-gap-remark",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.23.16.4"
    }
  ],
  "version" : "5.0.0",
  "name" : "CareGapRemark",
  "title" : "Care Gap Remark Code System",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-04-17T02:28:39+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This is a code system for Care Gap Remark",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 8,
  "concept" : [
    {
      "code" : "order-placed",
      "display" : "Order placed",
      "definition" : "An order has been placed to address and close the gap"
    },
    {
      "code" : "satisfied-in-EHR",
      "display" : "Satisfied in EHR",
      "definition" : "Data already present in the EHR satisfies the open gap."
    },
    {
      "code" : "out-of-range",
      "display" : "Out of range",
      "definition" : "EHR reports patient condition is not within allowed threshold."
    },
    {
      "code" : "patient-refused",
      "display" : "Patient refused",
      "definition" : "Patient refused intervention to close the gap."
    },
    {
      "code" : "rejected",
      "display" : "Rejected",
      "definition" : "Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time."
    },
    {
      "code" : "suppressed",
      "display" : "Suppressed",
      "definition" : "Presentation of the gap to the provider was suppressed."
    },
    {
      "code" : "not-assessed",
      "display" : "Not assessed",
      "definition" : "Gap was shown to the provider but no action was taken to assess the gap."
    },
    {
      "code" : "not-ingested",
      "display" : "Not ingested",
      "definition" : "System cannot process the gap that was received."
    }
  ]
}