Release 5
Clinical ReasoningThis page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
. Page versions: R5 R4B R4
| Clinical Quality Information Work Group | Maturity Level: 3 | Trial Use | Compartments: N/A |
The care-gaps operation is used to determine gaps-in-care based on the results of quality measures.
The canonical URL for this operation definition is
http://hl7.org/fhir/OperationDefinition/Measure-care-gaps
Formal Definition (as a OperationDefinition).
URL: [base]/Measure/$care-gaps
This is an idempotent operation
| In Parameters: | ||||||
| Name | Scope | Cardinality | Type | Binding | Profile | Documentation |
| periodStart | 1..1 | date | The start of the measurement period. In keeping with the semantics of the date parameter used in the FHIR search operation, the period will start at the beginning of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period s | |||
| periodEnd | 1..1 | date | The end of the measurement period. The period will end at the end of the period implied by the supplied timestamp. E.g. a value of 2014 would set the period end to be 2014-12-31T23:59:59 inclusive | |||
| topic | 1..1 | string | The topic to be used to determine which measures are considered for the care gaps report. Any measure with the given topic will be included in the report | |||
| subject | 1..1 | string (reference) | Subject for which the care gaps report will be produced | |||
| Out Parameters: | ||||||
| Name | Scope | Cardinality | Type | Binding | Profile | Documentation |
| return | 1..1 | Bundle | The result of the care gaps report will be returned as a document bundle with a MeasureReport entry for each included measure Note: as this is the only out parameter, it is a resource, and it has the name 'return', the result of this operation is returned directly as a resource | |||
The effect of invoking this operation is to calculate a set of measures for a particular topic (e.g. Preventive Care and Screening) and return a document describing the results of each measure for the given subject. Note that it is up to the server to determine whether or not the generated care gaps report is persisted. If the server does not persist the results, the operation does not affect state and can be invoked with a GET
Request: Request a care gaps report for a patient for all Preventive Care and Screening measures
GET [base]/Measure/$care-gaps?periodStart=2014&periodEnd=2014&topic=Preventive%20Care%20and%20Screening&patient=Patient/123
Response: Returned on successful evaluation
HTTP/1.1 200 OK
<Bundle xmlns="http://hl7.org/fhir">
<type value="document"/>
<entry>
<resource>
<Composition xmlns="http://hl7.org/fhir">
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="57024-2"/>
</coding>
</type>
<subject>
<reference value="Patient/Patient-1153"/>
</subject>
<date value="2018-07-22"/>
<author>
<reference value="Organization/123"/>
</author>
<title value="Preventive Care and Screening Care Gap Report"/>
<section>
<title value="Breast Cancer Screening Cohort Definition"/>
<entry>
<reference value="MeasureReport/be224ee3-20aa-4058-bf41-52a6be342d81"/>
</entry>
</section>
<section>
<title value="Cervical Cancer Screening Cohort Definition"/>
<entry>
<reference value="MeasureReport/86fa5aed-8193-4f55-835b-5bbafbd1e7d6"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<resource>
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="be224ee3-20aa-4058-bf41-52a6be342d81"/>
<contained>
<Bundle xmlns="http://hl7.org/fhir">
<id value="3eb57f94-7b33-48b1-9673-3b18634dca04"/>
<type value="collection"/>
</Bundle>
</contained>
<status value="complete"/>
<type value="individual"/>
<measure value="http://example.org/fhir/Measure/measure-bcs"/>
<subject>
<reference value="Patient/Patient-1153"/>
</subject>
<period>
<start value="2017-01-01T00:00:00+00:00"/>
<end value="2017-12-31T00:00:00+00:00"/>
</period>
<group>
<population>
<code>
<coding>
<code value="initial-population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<code value="numerator"/>
</coding>
</code>
<count value="0"/>
</population>
<population>
<code>
<coding>
<code value="denominator"/>
</coding>
</code>
<count value="1"/>
</population>
</group>
<evaluatedResource>
<reference value="#3eb57f94-7b33-48b1-9673-3b18634dca04"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<resource>
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="86fa5aed-8193-4f55-835b-5bbafbd1e7d6"/>
<contained>
<Bundle xmlns="http://hl7.org/fhir">
<id value="8e6e9224-59b6-4edd-b17f-58981a754e57"/>
<type value="collection"/>
</Bundle>
</contained>
<status value="complete"/>
<type value="individual"/>
<measure value="http://example.org/fhir/Measure/measure-ccs"/>
<subject>
<reference value="Patient/Patient-1153"/>
</subject>
<period>
<start value="2017-01-01T00:00:00+00:00"/>
<end value="2017-12-31T00:00:00+00:00"/>
</period>
<group>
<population>
<code>
<coding>
<code value="initial-population"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<code value="numerator"/>
</coding>
</code>
<count value="1"/>
</population>
<population>
<code>
<coding>
<code value="denominator"/>
</coding>
</code>
<count value="1"/>
</population>
</group>
<evaluatedResource>
<reference value="#8e6e9224-59b6-4edd-b17f-58981a754e57"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
</Bundle>
For more information about operations, including how they are invoked, see Operations.
FHIR ®© HL7.org 2011+. FHIR R5 hl7.fhir.core#5.0.0 generated on Sun, Mar 26, 2023 15:25+1100.
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