Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
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
| Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm | Version: 5.0.0 | |||
| Standards status: Trial-use Active as of 2021-04-23 | Maturity Level: 4 | 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, prospective-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:
Each DetectedIssue Must Support:
This profile builds on DetectedIssue.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) |
| 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 | |
 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 Detailed Care Gap Guidance Response resource. |
 Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DetectedIssue.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| DetectedIssue.code | Base | preferred | Detected Issue Category | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DetectedIssue | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DetectedIssue | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DetectedIssue | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DetectedIssue |
0..* | DetectedIssue | Clinical issue with action | |
| Slices for modifierExtension |
Content/Rules for all slices | |||
| modifierExtension:gapStatus |
?!S | 1..1 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) |
 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 Detailed Care Gap Guidance Response resource. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| 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 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) | ||||
| 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 Detailed Care Gap Guidance Response resource. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | Status | Usage | ValueSet | Version | Source |
| DetectedIssue.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DetectedIssue.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| DetectedIssue.code | Base | preferred | Detected Issue Category | 📍4.0.1 | FHIR Std. |
| DetectedIssue.severity | Base | required | DetectedIssueSeverity | 📍4.0.1 | FHIR Std. |
| DetectedIssue.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| DetectedIssue.evidence.detail.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DetectedIssue.mitigation.action | Base | preferred | Detected Issue Mitigation Action | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DetectedIssue | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DetectedIssue | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DetectedIssue | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 5 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) |
| 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 | |
| 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 Detailed Care Gap Guidance Response resource. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DetectedIssue.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| DetectedIssue.code | Base | preferred | Detected Issue Category | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DetectedIssue | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DetectedIssue | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DetectedIssue | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DetectedIssue |
0..* | DetectedIssue | Clinical issue with action | |
| Slices for modifierExtension |
Content/Rules for all slices | |||
| modifierExtension:gapStatus |
?!S | 1..1 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) |
| 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 Detailed Care Gap Guidance Response resource. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| 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 | CodeableConcept | Gap Status URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Binding: DEQM Gaps In Care Gap Status Value Set (extensible) | ||||
| 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 Detailed Care Gap Guidance Response resource. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:criteriaReference |
S | 0..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| 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 | Status | Usage | ValueSet | Version | Source |
| DetectedIssue.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DetectedIssue.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| DetectedIssue.code | Base | preferred | Detected Issue Category | 📍4.0.1 | FHIR Std. |
| DetectedIssue.severity | Base | required | DetectedIssueSeverity | 📍4.0.1 | FHIR Std. |
| DetectedIssue.evidence.code | Base | example | Manifestation and Symptom Codes | 📍4.0.1 | FHIR Std. |
| DetectedIssue.evidence.detail.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DetectedIssue.mitigation.action | Base | preferred | Detected Issue Mitigation Action | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DetectedIssue | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DetectedIssue | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DetectedIssue | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DetectedIssue | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 5 elements
Must-Support: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Clinical Quality Information.
Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1.
Generated
2025-12-19
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QA Report
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