Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3
Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.0.0: 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 
| Defining URL: | http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm |
| Version: | 3.0.0 |
| Name: | DEQMGapsInCareCompositionProfile |
| Title: | DEQM Gaps In Care Composition Profile |
| Status: | Active as of 2021-04-23 |
| Definition: | The DEQM Gaps In Care Composition Profile defines a document composition consisting of one or more indivdiual MeasureReport(s). Each section of this composition corresponds to an indivdiual MeasureReport for a specific measure. The subject of each individual MeasureReport referenced by the section must be for the same individual specified in the subject of this Composition. |
| Publisher: | HL7 International - Clinical Quality Information Work Group |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm
This profile builds on Composition.
The following data-elements are mandatory (i.e data MUST be present).
Each must have:
Composition.type with a fixed LOINC code 96315-7Composition.subject references QI Core Patient who is the subject of the Gaps in Care ReportComposition.date that is the datetime of the Gaps in Care Report was createdComposition.title that is the title of the Gaps in Care ReportComposition.section.focus references a measure report using the DEQM Individual MeasureReport ProfileComposition.section.entry references detected issue for a measure using the DEQM Gaps In Care DetectedIssue ProfileEach should have (Must Support):
Composition.custodian references the organization that is responsible for ongoing maintenance of the Gaps in Care ReportNote: The date range for the Gaps in Care Report is specified using the period element in the DEQM Individual MeasureReport Profile.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Fixed Value: As shown |
   coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 96315-7 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Gaps in care report | |
 subject | S | 1..1 | Reference(QICorePatient) | What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual. |
| date | S | 1..1 | dateTime | The datetime the gaps in care report was created |
 title | S | 1..1 | string | The title of the gaps in care report |
| custodian | S | 0..1 | Reference(DEQM Organization Profile) | Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report |
| section | 1..* | BackboneElement | Must contain at least one section, each section corresponds to an indivdiual MeasureReport for a specific measure | |
| title | 0..1 | string | The title of the measure that is referenced | |
| focus | S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | This references a DEQM individual MeasureReport |
| entry | S | 1..* | Reference(DEQM Gaps In Care Detected Issue Profile) | This references a gaps in care DetectedIssue |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 96315-7 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Gaps in care report | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | SΣ | 1..1 | Reference(QICorePatient) | What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual. |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | SΣ | 1..1 | dateTime | The datetime the gaps in care report was created |
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | SΣ | 1..1 | string | The title of the gaps in care report |
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
| 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 |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| time | 0..1 | dateTime | When the composition was attested | |
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
| custodian | SΣ | 0..1 | Reference(DEQM Organization Profile) | Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| 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 | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
 target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented |
| 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 | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. |
| period | Σ | 0..1 | Period | The period covered by the documentation |
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..* | BackboneElement | Must contain at least one section, each section corresponds to an indivdiual MeasureReport for a specific measure |
| 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 |
| title | 0..1 | string | The title of the measure that is referenced | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
| focus | S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | This references a DEQM individual MeasureReport |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | SI | 1..* | Reference(DEQM Gaps In Care Detected Issue Profile) | This references a gaps in care DetectedIssue |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
| section | I | 0..* | See section (Composition) | Nested Section |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 96315-7 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Gaps in care report | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| subject | Σ | 1..1 | Reference(QICorePatient) | What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual. |
| date | Σ | 1..1 | dateTime | The datetime the gaps in care report was created |
| title | Σ | 1..1 | string | The title of the gaps in care report |
| custodian | Σ | 0..1 | Reference(DEQM Organization Profile) | Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report |
| section | I | 1..* | BackboneElement | Must contain at least one section, each section corresponds to an indivdiual MeasureReport for a specific measure |
| focus | 1..1 | Reference(DEQM Individual MeasureReport Profile) | This references a DEQM individual MeasureReport | |
| entry | I | 1..* | Reference(DEQM Gaps In Care Detected Issue Profile) | This references a gaps in care DetectedIssue |
| Documentation for this format | ||||
This structure is derived from Composition
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| type | S | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Fixed Value: As shown |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 96315-7 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Gaps in care report | |
| subject | S | 1..1 | Reference(QICorePatient) | What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual. |
| date | S | 1..1 | dateTime | The datetime the gaps in care report was created |
| title | S | 1..1 | string | The title of the gaps in care report |
| custodian | S | 0..1 | Reference(DEQM Organization Profile) | Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report |
| section | 1..* | BackboneElement | Must contain at least one section, each section corresponds to an indivdiual MeasureReport for a specific measure | |
| title | 0..1 | string | The title of the measure that is referenced | |
| focus | S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | This references a DEQM individual MeasureReport |
| entry | S | 1..* | Reference(DEQM Gaps In Care Detected Issue Profile) | This references a gaps in care DetectedIssue |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition |
| status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. |
| type | SΣ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Fixed Value: As shown |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| coding | 1..1 | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..0 | string | Unique id for inter-element referencing | |
| extension | 0..0 | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version | 0..0 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 96315-7 | |
| display | 1..1 | string | Representation defined by the system Fixed Value: Gaps in care report | |
| userSelected | 0..0 | boolean | If this coding was chosen directly by the user | |
| text | 0..0 | string | Plain text representation of the concept | |
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. |
| subject | SΣ | 1..1 | Reference(QICorePatient) | What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual. |
| encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition |
| date | SΣ | 1..1 | dateTime | The datetime the gaps in care report was created |
| author | Σ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the composition |
| title | SΣ | 1..1 | string | The title of the gaps in care report |
| confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. |
| attester | 0..* | BackboneElement | Attests to accuracy of composition | |
| 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 |
| mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |
| time | 0..1 | dateTime | When the composition was attested | |
| party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |
| custodian | SΣ | 0..1 | Reference(DEQM Organization Profile) | Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report |
| relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |
| 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 | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |
| target[x] | 1..1 | Target of the relationship | ||
| targetIdentifier | Identifier | |||
| targetReference | Reference(Composition) | |||
| event | Σ | 0..* | BackboneElement | The clinical service(s) being documented |
| 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 | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. |
| period | Σ | 0..1 | Period | The period covered by the documentation |
| detail | Σ | 0..* | Reference(Resource) | The event(s) being documented |
| section | I | 1..* | BackboneElement | Must contain at least one section, each section corresponds to an indivdiual MeasureReport for a specific measure |
| 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 |
| title | 0..1 | string | The title of the measure that is referenced | |
| code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | |
| author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |
| focus | S | 1..1 | Reference(DEQM Individual MeasureReport Profile) | This references a DEQM individual MeasureReport |
| text | I | 0..1 | Narrative | Text summary of the section, for human interpretation |
| mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |
| orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |
| entry | SI | 1..* | Reference(DEQM Gaps In Care Detected Issue Profile) | This references a gaps in care DetectedIssue |
| emptyReason | I | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. |
| section | I | 0..* | See section (Composition) | Nested Section |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code |
| Composition.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Composition.status | required | CompositionStatus |
| Composition.type | preferred | Fixed Value: LOINC code 96315-7("Gaps in care report") |
| Composition.category | example | DocumentClassValueSet |
| Composition.confidentiality | required | v3.ConfidentialityClassification |
| Composition.attester.mode | required | CompositionAttestationMode |
| Composition.relatesTo.code | required | DocumentRelationshipType |
| Composition.event.code | example | v3.ActCode |
| Composition.section.code | example | DocumentSectionCodes |
| Composition.section.mode | required | ListMode |
| Composition.section.orderedBy | preferred | ListOrderCodes |
| Composition.section.emptyReason | preferred | ListEmptyReasons |
IG © 2020+ HL7 International - Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-deqm#3.0.0 based on FHIR 4.0.1. Generated 2021-06-21
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