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

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: DEQM Care Gap Remark Code System

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="deqm-care-gap-remark"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="4">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-care-gap-remark"/>
  <version value="1.0.0-ballot"/>
  <name value="DEQMCareGapRemark"/>
  <title value="DEQM Care Gap Remark Code System"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-03-24T20:19:58+00:00"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="This is a code system for Care Gap Remark"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="8"/>
  <concept>
    <code value="order-placed"/>
    <display value="Order placed"/>
    <definition
                value="An order has been placed to address and close the gap"/>
  </concept>
  <concept>
    <code value="satisfied-in-EHR"/>
    <display value="Satisfied in EHR"/>
    <definition
                value="Data already present in the EHR satisfies the open gap."/>
  </concept>
  <concept>
    <code value="out-of-range"/>
    <display value="Out of range"/>
    <definition
                value="EHR reports patient condition is not within allowed threshold."/>
  </concept>
  <concept>
    <code value="patient-refused"/>
    <display value="Patient refused"/>
    <definition value="Patient refused intervention to close the gap."/>
  </concept>
  <concept>
    <code value="rejected"/>
    <display value="Rejected"/>
    <definition
                value="Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time."/>
  </concept>
  <concept>
    <code value="suppressed"/>
    <display value="Suppressed"/>
    <definition
                value="Presentation of the gap to the provider was suppressed."/>
  </concept>
  <concept>
    <code value="not-assessed"/>
    <display value="Not assessed"/>
    <definition
                value="Gap was shown to the provider but no action was taken to assess the gap."/>
  </concept>
  <concept>
    <code value="not-ingested"/>
    <display value="Not ingested"/>
    <definition value="System cannot process the gap that was received."/>
  </concept>
</CodeSystem>