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: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: DEQM Care Gap Remark Extension

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark Version: 5.0.0
Standards status: Trial-use Maturity Level: 4 Computable Name: DEQMCareGapRemarkExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.23.42.32

This extension allows a coded and/or narrative remark be added to a Care Gap's Individual Measure Report that adds context from a Provider about the gap.

Context of Use

Mandatory Data Elements and Terminology

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

Each Must Have:

  1. url: identifies the meaning of the extension

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C 0..* Extension Condition Category remark
cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:author 0..1 Extension Identifier of the person who added the remark such as NPI
..... url 1..1 uri "author"
..... value[x] 1..1 Identifier of the person who added the remark such as NPI
...... valueIdentifier Identifier
...... valueString string
.... extension:authorOrganization 0..1 Extension Identifier of the organization that added the remark such as TIN, NPI.
..... url 1..1 uri "authorOrganization"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
...... valueReference Reference(QICore Organization)
.... extension:authorSoftware 0..1 Extension Identifier of the software that added the remark.
..... url 1..1 uri "authorSoftware"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
.... extension:authorDatetime 0..1 Extension When the remark was added
..... url 1..1 uri "authorDatetime"
..... value[x] 1..1 dateTime Value of extension
.... extension:text 0..* Extension Free text remark
..... url 1..1 uri "text"
..... value[x] 1..1 string Value of extension
.... extension:code 0..1 Extension Coded remark
..... url 1..1 uri "code"
..... value[x] 1..1 uri Value of extension
Binding: Care Gap Remark Value Set (extensible)
.... extension:relatedData 0..* Extension Related data
..... url 1..1 uri "relatedData"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueReference Reference(Any)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C 0..* Extension Condition Category remark
cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:author 0..1 Extension Identifier of the person who added the remark such as NPI
..... 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 "author"
..... value[x] 1..1 Identifier of the person who added the remark such as NPI
...... valueIdentifier Identifier
...... valueString string
.... extension:authorOrganization 0..1 Extension Identifier of the organization that added the remark such as TIN, NPI.
..... 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 "authorOrganization"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
...... valueReference Reference(QICore Organization)
.... extension:authorSoftware 0..1 Extension Identifier of the software that added the remark.
..... 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 "authorSoftware"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
.... extension:authorDatetime 0..1 Extension When the remark was added
..... 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 "authorDatetime"
..... value[x] 1..1 dateTime Value of extension
.... extension:text 0..* Extension Free text remark
..... 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 "text"
..... value[x] 1..1 string Value of extension
.... extension:code 0..1 Extension Coded remark
..... 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 "code"
..... value[x] 1..1 uri Value of extension
Binding: Care Gap Remark Value Set (extensible)
.... extension:relatedData 0..* Extension Related data
..... 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 "relatedData"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueReference Reference(Any)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension allows a coded and/or narrative remark be added to a Care Gap's Individual Measure Report that adds context from a Provider about the gap.

  • author: Identifier, string: An Extension
  • authorOrganization: Identifier, string, Reference: An Extension
  • authorSoftware: Identifier, string: An Extension
  • authorDatetime: dateTime: An Extension
  • text: string: An Extension
  • code: uri: An Extension
  • relatedData: Identifier, Reference: An Extension

Maturity: 4

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C 0..* Extension Condition Category remark
cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:author 0..1 Extension Identifier of the person who added the remark such as NPI
..... url 1..1 uri "author"
..... value[x] 1..1 Identifier of the person who added the remark such as NPI
...... valueIdentifier Identifier
...... valueString string
.... extension:authorOrganization 0..1 Extension Identifier of the organization that added the remark such as TIN, NPI.
..... url 1..1 uri "authorOrganization"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
...... valueReference Reference(QICore Organization)
.... extension:authorSoftware 0..1 Extension Identifier of the software that added the remark.
..... url 1..1 uri "authorSoftware"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
.... extension:authorDatetime 0..1 Extension When the remark was added
..... url 1..1 uri "authorDatetime"
..... value[x] 1..1 dateTime Value of extension
.... extension:text 0..* Extension Free text remark
..... url 1..1 uri "text"
..... value[x] 1..1 string Value of extension
.... extension:code 0..1 Extension Coded remark
..... url 1..1 uri "code"
..... value[x] 1..1 uri Value of extension
Binding: Care Gap Remark Value Set (extensible)
.... extension:relatedData 0..* Extension Related data
..... url 1..1 uri "relatedData"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueReference Reference(Any)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C 0..* Extension Condition Category remark
cgr-1: A remark shall include an author, an authorOrganization, or an authorSoftware
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:author 0..1 Extension Identifier of the person who added the remark such as NPI
..... 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 "author"
..... value[x] 1..1 Identifier of the person who added the remark such as NPI
...... valueIdentifier Identifier
...... valueString string
.... extension:authorOrganization 0..1 Extension Identifier of the organization that added the remark such as TIN, NPI.
..... 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 "authorOrganization"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
...... valueReference Reference(QICore Organization)
.... extension:authorSoftware 0..1 Extension Identifier of the software that added the remark.
..... 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 "authorSoftware"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueString string
.... extension:authorDatetime 0..1 Extension When the remark was added
..... 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 "authorDatetime"
..... value[x] 1..1 dateTime Value of extension
.... extension:text 0..* Extension Free text remark
..... 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 "text"
..... value[x] 1..1 string Value of extension
.... extension:code 0..1 Extension Coded remark
..... 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 "code"
..... value[x] 1..1 uri Value of extension
Binding: Care Gap Remark Value Set (extensible)
.... extension:relatedData 0..* Extension Related data
..... 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 "relatedData"
..... value[x] 1..1 Value of extension
...... valueIdentifier Identifier
...... valueReference Reference(Any)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension allows a coded and/or narrative remark be added to a Care Gap's Individual Measure Report that adds context from a Provider about the gap.

  • author: Identifier, string: An Extension
  • authorOrganization: Identifier, string, Reference: An Extension
  • authorSoftware: Identifier, string: An Extension
  • authorDatetime: dateTime: An Extension
  • text: string: An Extension
  • code: uri: An Extension
  • relatedData: Identifier, Reference: An Extension

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:code.value[x]extensibleCareGapRemark (a valid code from Care Gap Remark Code System)
http://hl7.org/fhir/us/davinci-deqm/ValueSet/care-gap-remark
from this IG

Constraints

IdGradePath(s)DetailsRequirements
cgr-1errorExtensionA remark shall include an author, an authorOrganization, or an authorSoftware
: extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()