# DEQM Gaps In Care Composition Profile - Data Exchange For Quality Measures Implementation Guide v1.0.0-ballot

## Resource Profile: DEQM Gaps In Care Composition Profile 

 
The DEQM Gaps In Care Composition Profile defines a document composition consisting of one or more individual MeasureReport(s). Each section of this composition corresponds to an individual 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. 

### Mandatory Data Elements and Terminology

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

**Each Composition Must Have:**

1. title: The title of the gaps in care report
1. status: preliminary | final | amended | entered-in-error
1. section.focus: This references a DEQM individual MeasureReport
1. date: The datetime the gaps in care report was created
1. section.entry: This references a gaps in care DetectedIssue
1. type: Kind of composition (LOINC if possible)
1. author: Who and/or what authored the composition
1. subject: What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual.
1. section: Must contain at least one section, each section corresponds to an individual MeasureReport for a specific measure

**Each Composition Must Support:**

1. custodian: Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report

This profile builds on [Composition](https://www.hl7.org/fhir/composition.html).

Note: The date range for the Gaps in Care Report is specified using the `period` element in the [DEQM Individual MeasureReport Profile](StructureDefinition-deqm-individualmeasurereport.md).

**Usages:**

* Use this Profile: [DEQM Gaps In Care Bundle](StructureDefinition-deqm-gapsincarebundle.md)
* Examples for this Profile: [Composition/gaps-composition01](Composition-gaps-composition01.md), [Composition/gaps-composition02](Composition-gaps-composition02.md) and [Composition/gaps-composition03](Composition-gaps-composition03.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.uv.deqm|current/StructureDefinition/deqm-gapsincarecomposition)

### Formal Views of Profile Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-deqm-gapsincarecomposition.csv), [Excel](../StructureDefinition-deqm-gapsincarecomposition.xlsx), [Schematron](../StructureDefinition-deqm-gapsincarecomposition.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "deqm-gapsincarecomposition",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cqi"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/deqm/ImplementationGuide/hl7.fhir.uv.deqm"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarecomposition",
  "version" : "1.0.0-ballot",
  "name" : "DEQMGapsInCareComposition",
  "title" : "DEQM Gaps In Care Composition Profile",
  "status" : "active",
  "date" : "2021-04-23",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "description" : "The DEQM Gaps In Care Composition Profile defines a document composition consisting of one or more individual MeasureReport(s). Each section of this composition corresponds to an individual 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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "fhirdocumentreference",
    "uri" : "http://hl7.org/fhir/documentreference",
    "name" : "FHIR DocumentReference"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Composition",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Composition",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Composition",
      "path" : "Composition"
    },
    {
      "id" : "Composition.type",
      "path" : "Composition.type",
      "comment" : "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding. A LOINC code was requested for gaps in care report. The gaps-doc is a temporary code before the offical LOINC code is assigned.",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "96315-7"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Composition.subject",
      "path" : "Composition.subject",
      "short" : "What individual the gaps in care report is for. All individual MeasureReports referenced must be for this same individual.",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Composition.date",
      "path" : "Composition.date",
      "short" : "The datetime the gaps in care report was created",
      "mustSupport" : true
    },
    {
      "id" : "Composition.title",
      "path" : "Composition.title",
      "short" : "The title of the gaps in care report",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Composition.custodian",
      "path" : "Composition.custodian",
      "short" : "Identifies the organization who is responsible for ongoing maintenance of and accessing to this gaps in care report",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Composition.section",
      "path" : "Composition.section",
      "short" : "Must contain at least one section, each section corresponds to an individual MeasureReport for a specific measure",
      "min" : 1
    },
    {
      "id" : "Composition.section.title",
      "path" : "Composition.section.title",
      "short" : "The title of the measure that is referenced"
    },
    {
      "id" : "Composition.section.focus",
      "path" : "Composition.section.focus",
      "short" : "This references a DEQM individual MeasureReport",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Composition.section.entry",
      "path" : "Composition.section.entry",
      "short" : "This references a gaps in care DetectedIssue",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue"]
      }],
      "mustSupport" : true
    }]
  }
}

```
