Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## : DEQM Care Gap Remark Code System

Page standards status: Trial-use | Maturity Level: 4

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    {
      "resourceType" : "CodeSystem",
      "id" : "deqm-care-gap-remark",
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem deqm-care-gap-remark</b></p><a name=\"deqm-care-gap-remark\"> </a><a name=\"hcdeqm-care-gap-remark\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-care-gap-remark</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">order-placed<a name=\"deqm-care-gap-remark-order-placed\"> </a></td><td>Order placed</td><td>An order has been placed to address and close the gap</td></tr><tr><td style=\"white-space:nowrap\">satisfied-in-EHR<a name=\"deqm-care-gap-remark-satisfied-in-EHR\"> </a></td><td>Satisfied in EHR</td><td>Data already present in the EHR satisfies the open gap.</td></tr><tr><td style=\"white-space:nowrap\">out-of-range<a name=\"deqm-care-gap-remark-out-of-range\"> </a></td><td>Out of range</td><td>EHR reports patient condition is not within allowed threshold.</td></tr><tr><td style=\"white-space:nowrap\">patient-refused<a name=\"deqm-care-gap-remark-patient-refused\"> </a></td><td>Patient refused</td><td>Patient refused intervention to close the gap.</td></tr><tr><td style=\"white-space:nowrap\">rejected<a name=\"deqm-care-gap-remark-rejected\"> </a></td><td>Rejected</td><td>Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time.</td></tr><tr><td style=\"white-space:nowrap\">suppressed<a name=\"deqm-care-gap-remark-suppressed\"> </a></td><td>Suppressed</td><td>Presentation of the gap to the provider was suppressed.</td></tr><tr><td style=\"white-space:nowrap\">not-assessed<a name=\"deqm-care-gap-remark-not-assessed\"> </a></td><td>Not assessed</td><td>Gap was shown to the provider but no action was taken to assess the gap.</td></tr><tr><td style=\"white-space:nowrap\">not-ingested<a name=\"deqm-care-gap-remark-not-ingested\"> </a></td><td>Not ingested</td><td>System cannot process the gap that was received.</td></tr></table></div>"
      },
      "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/CodeSystem/deqm-care-gap-remark",
      "version" : "1.0.0-ballot",
      "name" : "DEQMCareGapRemark",
      "title" : "DEQM Care Gap Remark Code System",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-04-07T14:18:11+10:00",
      "publisher" : "HL7 International / Clinical Quality Information",
      "contact" : [
        {
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/cqi"
            }
          ]
        }
      ],
      "description" : "This is a code system for Care Gap Remark",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
              "code" : "001",
              "display" : "World"
            }
          ]
        }
      ],
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 8,
      "concept" : [
        {
          "code" : "order-placed",
          "display" : "Order placed",
          "definition" : "An order has been placed to address and close the gap"
        },
        {
          "code" : "satisfied-in-EHR",
          "display" : "Satisfied in EHR",
          "definition" : "Data already present in the EHR satisfies the open gap."
        },
        {
          "code" : "out-of-range",
          "display" : "Out of range",
          "definition" : "EHR reports patient condition is not within allowed threshold."
        },
        {
          "code" : "patient-refused",
          "display" : "Patient refused",
          "definition" : "Patient refused intervention to close the gap."
        },
        {
          "code" : "rejected",
          "display" : "Rejected",
          "definition" : "Action to address the gap was rejected by the provider, such as a measure is not applicable to the patient at this time."
        },
        {
          "code" : "suppressed",
          "display" : "Suppressed",
          "definition" : "Presentation of the gap to the provider was suppressed."
        },
        {
          "code" : "not-assessed",
          "display" : "Not assessed",
          "definition" : "Gap was shown to the provider but no action was taken to assess the gap."
        },
        {
          "code" : "not-ingested",
          "display" : "Not ingested",
          "definition" : "System cannot process the gap that was received."
        }
      ]
    }