Data Exchange For Quality Measures Implementation Guide
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This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

Extension: DEQM Gap Status Modifier Extension

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus Version: 5.0.0-ballot
Active as of 2021-04-23 Computable Name: DEQMGapStatusModifierExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.10

Identifies detected care gap status.

Context of Use

This extension may be used on the following element(s):

  • Element ID DetectedIssue

Mandatory Data Elements and Terminology

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

Each Extension Must Have:

  1. url: identifies the meaning of the extension

The DEQM Gap Status is a modifier extension and is used by the DEQM Gaps In Care DetectedIssue. The gap status allows the not-applicable code, which indicates the patient does not meet the initial population criteria for the measure. The gap status also allows the open-gap code, which indicates the patient has an open care gap as opposed to a closed-gap status. These different gap statuses will likely affect whether a DEQM Individual MeasureReport or a Detailed Care Gap Guidance Response is referenced in the DetectedIssue as evidence and the nature of the Guidance Response

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Identifies detected care gap status.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension ?! 0..1 Extension Gap Status
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"
... value[x] 0..1 CodeableConcept Value of extension
Binding: DEQM Gaps In Care Gap Status Value Set (extensible)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension ?! 0..1 Extension Gap Status
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"
... value[x] 0..1 CodeableConcept Value of extension
Binding: DEQM Gaps In Care Gap Status Value Set (extensible)

doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Identifies detected care gap status.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension ?! 0..1 Extension Gap Status
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"
... value[x] 0..1 CodeableConcept Value of extension
Binding: DEQM Gaps In Care Gap Status Value Set (extensible)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension ?! 0..1 Extension Gap Status
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"
... value[x] 0..1 CodeableConcept Value of extension
Binding: DEQM Gaps In Care Gap Status Value Set (extensible)

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.value[x]extensibleDEQMGapsStatusValueSet (a valid code from DEQM Gaps In Care Gap Status Code System)
http://hl7.org/fhir/us/davinci-deqm/ValueSet/gaps-status
from this IG