Data Exchange For Quality Measures Implementation Guide
1.0.0-cibuild - CI Build International flag

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-cibuild 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 rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

<http://hl7.org/fhir/CodeSystem/deqm-care-gap-remark> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "deqm-care-gap-remark"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "cqi" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:Extension.valueInteger [
       fhir:value "4"^^xsd:integer ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm" ;
           fhir:link <http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm>
         ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:Extension.valueCode [
       fhir:value "trial-use" ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm" ;
           fhir:link <http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm>
         ]
       ]
     ]
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-care-gap-remark"] ;
  fhir:CodeSystem.version [ fhir:value "1.0.0-cibuild"] ;
  fhir:CodeSystem.name [ fhir:value "DEQMCareGapRemark"] ;
  fhir:CodeSystem.title [ fhir:value "DEQM Care Gap Remark Code System"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-15T14:39:49+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "HL7 International / Clinical Quality Information"] ;
  fhir:CodeSystem.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "This is a code system for Care Gap Remark"] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ] ;
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "8"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "order-placed" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Order placed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "An order has been placed to address and close the gap" ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "satisfied-in-EHR" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Satisfied in EHR" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Data already present in the EHR satisfies the open gap." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "out-of-range" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Out of range" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "EHR reports patient condition is not within allowed threshold." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-refused" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient refused" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient refused intervention to close the gap." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "rejected" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Rejected" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "suppressed" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Suppressed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Presentation of the gap to the provider was suppressed." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "not-assessed" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Not assessed" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Gap was shown to the provider but no action was taken to assess the gap." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "not-ingested" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Not ingested" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "System cannot process the gap that was received." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/deqm-care-gap-remark.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/deqm-care-gap-remark.ttl> .