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 1.0.0-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

: DEQM Care Gap Remark Code System

Page standards status: Trial-use Maturity Level: 4

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "deqm-care-gap-remark"] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem deqm-care-gap-remark</b></p><a name=\"deqm-care-gap-remark\"> </a><a name=\"hcdeqm-care-gap-remark\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-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=\"deqm-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=\"deqm-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=\"deqm-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=\"deqm-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=\"deqm-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=\"deqm-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=\"deqm-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=\"deqm-care-gap-remark-not-ingested\"> </a></td><td>Not ingested</td><td>System cannot process the gap that was received.</td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "cqi"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 4 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm>         ]       ] )     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm>         ]       ] )     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-care-gap-remark"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-care-gap-remark>
  ] ; # 
  fhir:version [ fhir:v "1.0.0-ballot"] ; # 
  fhir:name [ fhir:v "DEQMCareGapRemark"] ; # 
  fhir:title [ fhir:v "DEQM Care Gap Remark Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2026-03-25T06:27:48+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This is a code system for Care Gap Remark"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ]     ] )
  ] ) ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:count [ fhir:v "8"^^xsd:nonNegativeInteger] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "order-placed" ] ;
fhir:display [ fhir:v "Order placed" ] ;
fhir:definition [ fhir:v "An order has been placed to address and close the gap" ]
  ] [
fhir:code [ fhir:v "satisfied-in-EHR" ] ;
fhir:display [ fhir:v "Satisfied in EHR" ] ;
fhir:definition [ fhir:v "Data already present in the EHR satisfies the open gap." ]
  ] [
fhir:code [ fhir:v "out-of-range" ] ;
fhir:display [ fhir:v "Out of range" ] ;
fhir:definition [ fhir:v "EHR reports patient condition is not within allowed threshold." ]
  ] [
fhir:code [ fhir:v "patient-refused" ] ;
fhir:display [ fhir:v "Patient refused" ] ;
fhir:definition [ fhir:v "Patient refused intervention to close the gap." ]
  ] [
fhir:code [ fhir:v "rejected" ] ;
fhir:display [ fhir:v "Rejected" ] ;
fhir:definition [ fhir:v "Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time." ]
  ] [
fhir:code [ fhir:v "suppressed" ] ;
fhir:display [ fhir:v "Suppressed" ] ;
fhir:definition [ fhir:v "Presentation of the gap to the provider was suppressed." ]
  ] [
fhir:code [ fhir:v "not-assessed" ] ;
fhir:display [ fhir:v "Not assessed" ] ;
fhir:definition [ fhir:v "Gap was shown to the provider but no action was taken to assess the gap." ]
  ] [
fhir:code [ fhir:v "not-ingested" ] ;
fhir:display [ fhir:v "Not ingested" ] ;
fhir:definition [ fhir:v "System cannot process the gap that was received." ]
  ] ) . #