Data Exchange For Quality Measures STU3 for FHIR R4
2.1.0 - Ballot

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: DEQMGapsInCareDetectedIssueProfile

The DEQM Gaps In Care DetectedIssue Profile indicates that the measure that is referenced in the DEQM Gaps In Care Individual MeasureReport has an open gap. Detected Issues SHALL not be created for any DEQM Gaps In Care Individual MeasureReport where the gap is closed.

The official URL for this profile is: 

http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm

ONLY the new content for Gaps in Care is in the scope for ballot for the September, 2020 Ballot Cycle.

This profile builds on DetectedIssue.

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).–>

Each must have: –>

  1. A DetectedIssue code hardcoded to “care-gap”
  2. References the measure the detected issue applies to

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from DetectedIssue

Summary

Mandatory: 3 elements
Must-Support: 3 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue 0..*DetectedIssueClinical issue with action
... code S1..1CodeableConceptA temporary code until official code is assigned
Fixed Value: As shown
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/detectedissue-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: care-gap
..... display1..1stringRepresentation defined by the system
Fixed Value: Gap in Care Detected
... patient 0..1Reference(QICorePatient)Associated patient
... evidence S1..*BackboneElementSupporting evidence
.... detail S1..1Reference(DEQM Gaps In Care Individual MeasureReport Profile)This references the DEQM Gaps In Care MeasureReport that the gap(s) are detected

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue I0..*DetectedIssueClinical issue with action
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierUnique id for the detected issue
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... code SΣI1..1CodeableConceptA temporary code until official code is assigned
Binding: DetectedIssueCategory (preferred)
Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/detectedissue-category
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: care-gap
..... display1..1stringRepresentation defined by the system
Fixed Value: Gap in Care Detected
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... severity ΣI0..1codehigh | moderate | low
Binding: DetectedIssueSeverity (required)
... patient ΣI0..1Reference(QICorePatient)Associated patient
... identified[x] ΣI0..1When identified
.... identifiedDateTimedateTime
.... identifiedPeriodPeriod
... author ΣI0..1Reference(Practitioner | PractitionerRole | Device)The provider or device that identified the issue
... implicated ΣI0..*Reference(Resource)Problem resource
... evidence SI1..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..*CodeableConceptManifestation
Binding: ManifestationAndSymptomCodes (example)
.... detail SI1..1Reference(DEQM Gaps In Care Individual MeasureReport Profile)This references the DEQM Gaps In Care MeasureReport that the gap(s) are detected
... detail I0..1stringDescription and context
... reference I0..1uriAuthority for issue
... mitigation I0..*BackboneElementStep taken to address
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action I1..1CodeableConceptWhat mitigation?
Binding: DetectedIssueMitigationAction (preferred)
.... date I0..1dateTimeDate committed
.... author I0..1Reference(Practitioner | PractitionerRole)Who is committing?

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue I0..*DetectedIssueClinical issue with action
... code ΣI1..1CodeableConceptA temporary code until official code is assigned
Binding: DetectedIssueCategory (preferred)
Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/detectedissue-category
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: care-gap
..... display1..1stringRepresentation defined by the system
Fixed Value: Gap in Care Detected
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... evidence I1..*BackboneElementSupporting evidence
.... detail I1..1Reference(DEQM Gaps In Care Individual MeasureReport Profile)This references the DEQM Gaps In Care MeasureReport that the gap(s) are detected

doco Documentation for this format

This structure is derived from DetectedIssue

Summary

Mandatory: 3 elements
Must-Support: 3 elements
Fixed Value: 1 element

Structures

This structure refers to these other structures:

Differential View

This structure is derived from DetectedIssue

NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue 0..*DetectedIssueClinical issue with action
... code S1..1CodeableConceptA temporary code until official code is assigned
Fixed Value: As shown
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/detectedissue-category
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: care-gap
..... display1..1stringRepresentation defined by the system
Fixed Value: Gap in Care Detected
... patient 0..1Reference(QICorePatient)Associated patient
... evidence S1..*BackboneElementSupporting evidence
.... detail S1..1Reference(DEQM Gaps In Care Individual MeasureReport Profile)This references the DEQM Gaps In Care MeasureReport that the gap(s) are detected

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DetectedIssue I0..*DetectedIssueClinical issue with action
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierUnique id for the detected issue
... status ?!ΣI1..1coderegistered | preliminary | final | amended +
Binding: ObservationStatus (required)
... code SΣI1..1CodeableConceptA temporary code until official code is assigned
Binding: DetectedIssueCategory (preferred)
Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/detectedissue-category
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: care-gap
..... display1..1stringRepresentation defined by the system
Fixed Value: Gap in Care Detected
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... severity ΣI0..1codehigh | moderate | low
Binding: DetectedIssueSeverity (required)
... patient ΣI0..1Reference(QICorePatient)Associated patient
... identified[x] ΣI0..1When identified
.... identifiedDateTimedateTime
.... identifiedPeriodPeriod
... author ΣI0..1Reference(Practitioner | PractitionerRole | Device)The provider or device that identified the issue
... implicated ΣI0..*Reference(Resource)Problem resource
... evidence SI1..*BackboneElementSupporting evidence
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code I0..*CodeableConceptManifestation
Binding: ManifestationAndSymptomCodes (example)
.... detail SI1..1Reference(DEQM Gaps In Care Individual MeasureReport Profile)This references the DEQM Gaps In Care MeasureReport that the gap(s) are detected
... detail I0..1stringDescription and context
... reference I0..1uriAuthority for issue
... mitigation I0..*BackboneElementStep taken to address
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action I1..1CodeableConceptWhat mitigation?
Binding: DetectedIssueMitigationAction (preferred)
.... date I0..1dateTimeDate committed
.... author I0..1Reference(Practitioner | PractitionerRole)Who is committing?

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
DetectedIssue.languagepreferredCommonLanguages
Max Binding: AllLanguages
DetectedIssue.statusrequiredObservationStatus
DetectedIssue.codepreferredFixed Value: care-gap("Gap in Care Detected")
DetectedIssue.severityrequiredDetectedIssueSeverity
DetectedIssue.evidence.codeexampleManifestationAndSymptomCodes
DetectedIssue.mitigation.actionpreferredDetectedIssueMitigationAction