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-ballot 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
Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm | Version: 5.0.0-ballot | |||
Active as of 2021-04-23 | Computable Name: DEQMGapsInCareDetectedIssueProfile | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.23 |
The DEQM Gaps In Care DetectedIssue Profile indicates that the measure reported has an open gap or a closed gap as identified in the gapStatus modifier extension.
The following data-elements are mandatory (i.e data MUST be present).
Each DetectedIssue Must Have:
This profile builds on DetectedIssue.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DetectedIssue
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
Slices for modifierExtension | Content/Rules for all slices | |||
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status |
code | S | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |
patient | S | 1..1 | Reference(QICore Patient) | Associated patient |
evidence | S | 1..* | BackboneElement | Supporting evidence |
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. |
code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |
patient | SΣ | 1..1 | Reference(QICore Patient) | Associated patient |
evidence | S | 1..* | BackboneElement | Supporting evidence |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
DetectedIssue.code | preferred | Pattern: CAREGAPhttp://hl7.org/fhir/ValueSet/detectedissue-category from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status | ||||
identifier | Σ | 0..* | Identifier | Unique id for the detected issue | ||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. | ||||
code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
severity | Σ | 0..1 | code | high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient. | ||||
patient | SΣ | 1..1 | Reference(QICore Patient) | Associated patient | ||||
identified[x] | Σ | 0..1 | When identified | |||||
identifiedDateTime | dateTime | |||||||
identifiedPeriod | Period | |||||||
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Device) | The provider or device that identified the issue | ||||
implicated | Σ | 0..* | Reference(Resource) | Problem resource | ||||
evidence | S | 1..* | BackboneElement | Supporting evidence | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. | |||||
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. | ||||
detail | 0..1 | string | Description and context | |||||
reference | 0..1 | uri | Authority for issue | |||||
mitigation | 0..* | BackboneElement | Step taken to address | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 1..1 | CodeableConcept | What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc. | |||||
date | 0..1 | dateTime | Date committed | |||||
author | 0..1 | Reference(Practitioner | PractitionerRole) | Who is committing? | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DetectedIssue.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
DetectedIssue.code | preferred | Pattern: CAREGAPhttp://hl7.org/fhir/ValueSet/detectedissue-category from the FHIR Standard | ||||
DetectedIssue.severity | required | DetectedIssueSeverityhttp://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 from the FHIR Standard | ||||
DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationActionhttp://hl7.org/fhir/ValueSet/detectedissue-mitigation-action from the FHIR Standard |
This structure is derived from DetectedIssue
Summary
Mandatory: 5 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from DetectedIssue
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
Slices for modifierExtension | Content/Rules for all slices | |||
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status |
code | S | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |
patient | S | 1..1 | Reference(QICore Patient) | Associated patient |
evidence | S | 1..* | BackboneElement | Supporting evidence |
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status |
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. |
code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |
patient | SΣ | 1..1 | Reference(QICore Patient) | Associated patient |
evidence | S | 1..* | BackboneElement | Supporting evidence |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | |
DetectedIssue.code | preferred | Pattern: CAREGAPhttp://hl7.org/fhir/ValueSet/detectedissue-category from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DetectedIssue | 0..* | DetectedIssue | Clinical issue with action | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
Slices for modifierExtension | ?! | 1..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
modifierExtension:gapStatus | ?!S | 1..1 | DEQMGapStatusModifierExtension | Gap Status | ||||
identifier | Σ | 0..* | Identifier | Unique id for the detected issue | ||||
status | ?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. | ||||
code | SΣ | 1..1 | CodeableConcept | Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: DetectedIssueCategory (preferred): Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CAREGAP | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
severity | Σ | 0..1 | code | high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient. | ||||
patient | SΣ | 1..1 | Reference(QICore Patient) | Associated patient | ||||
identified[x] | Σ | 0..1 | When identified | |||||
identifiedDateTime | dateTime | |||||||
identifiedPeriod | Period | |||||||
author | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Device) | The provider or device that identified the issue | ||||
implicated | Σ | 0..* | Reference(Resource) | Problem resource | ||||
evidence | S | 1..* | BackboneElement | Supporting evidence | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 0..* | CodeableConcept | Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue. | |||||
detail | S | 1..1 | Reference(DEQM Individual MeasureReport Profile | Detailed Care Gap Guidance Response) | This references either a DEQM Individual MeasureReport or a GuidanceResponse resource. Note that referencing the GuidanceResponse resource allows potential profiling on GuidanceResponse in the future without breaking backward compatibility. | ||||
detail | 0..1 | string | Description and context | |||||
reference | 0..1 | uri | Authority for issue | |||||
mitigation | 0..* | BackboneElement | Step taken to address | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 1..1 | CodeableConcept | What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc. | |||||
date | 0..1 | dateTime | Date committed | |||||
author | 0..1 | Reference(Practitioner | PractitionerRole) | Who is committing? | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DetectedIssue.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DetectedIssue.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard | ||||
DetectedIssue.code | preferred | Pattern: CAREGAPhttp://hl7.org/fhir/ValueSet/detectedissue-category from the FHIR Standard | ||||
DetectedIssue.severity | required | DetectedIssueSeverityhttp://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.1 from the FHIR Standard | ||||
DetectedIssue.evidence.code | example | ManifestationAndSymptomCodeshttp://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard | ||||
DetectedIssue.mitigation.action | preferred | DetectedIssueMitigationActionhttp://hl7.org/fhir/ValueSet/detectedissue-mitigation-action from the FHIR Standard |
This structure is derived from DetectedIssue
Summary
Mandatory: 5 elements
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron