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

## : Gaps Non-Document Gaps In Care Report

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="non-document-gaps-in-care"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle"/>
      </meta>
      <language value="en"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae"/>
      </identifier>
      <type value="collection"/>
      <timestamp value="2020-06-30T13:08:53+00:00"/>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03"/>
        <resource>
          <DetectedIssue>
            <id value="gaps-detectedissue03"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="DetectedIssue_gaps-detectedissue03"> </a><p class="res-header-id"><b>Generated Narrative: DetectedIssue gaps-detectedissue03</b></p><a name="gaps-detectedissue03"> </a><a name="hcgaps-detectedissue03"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-deqm-gapsincaredetectedissue.html">DEQM Gaps In Care Detected Issue Profile</a></p></div><p><b>DEQM Gap Status Modifier Extension</b>: <span title="Codes:{http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status open-gap}">Open Gap</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}">Caregap</span></p><p><b>patient</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><h3>Evidences</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><a href="MeasureReport-gaps-indv-measurereport03.html">MeasureReport: extension = Proportion,urn:oid:2.16.840.1.113883.3.2074.1#0015HQN9BD3304E,-&gt;Organization GapsReportingVendor01; status = complete; type = individual; measure = http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000; date = 2020-06-30 13:08:52+0000; period = 2020-01-01 --&gt; 2020-12-31; improvementNotation = Increased score indicates improvement</a></td></tr></table></div>
            </text>
            <modifierExtension
                               url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapStatus">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status"/>
                  <code value="open-gap"/>
                </coding>
              </valueCodeableConcept>
            </modifierExtension>
            <status value="final"/>
            <code>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="CAREGAP"/>
                <display value="Caregap"/>
              </coding>
            </code>
            <patient>🔗
              <reference value="Patient/gaps-patient02"/>
            </patient>
            <evidence>
              <detail>🔗
                <reference value="MeasureReport/gaps-indv-measurereport03"/>
              </detail>
            </evidence>
          </DetectedIssue>
        </resource>
      </entry>
      <entry>
        <fullUrl
                 value="http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03"/>
        <resource>
          <MeasureReport>
            <id value="gaps-indv-measurereport03"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_gaps-indv-measurereport03"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport gaps-indv-measurereport03</b></p><a name="gaps-indv-measurereport03"> </a><a name="hcgaps-indv-measurereport03"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-deqm-individualmeasurereport.html">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}">Proportion</span></p><p><b>DEQM Certification Identifier Extension</b>: <code>urn:oid:2.16.840.1.113883.3.2074.1</code>/0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM130-FHIR.html">EXM130 - Colorectal Cancer Screening Measure</a> version: 8.0.000</p><p><b>subject</b>: <a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>date</b>: 2020-06-30 13:08:52+0000</p><p><b>reporter</b>: <a href="Organization-gaps-organization-reportingvendor.html">Organization GapsReportingVendor01</a></p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</p><p><b>improvementNotation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-exm130</blockquote><p><b>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-exm130</p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: numerator</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator-exclusion</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Encounter-gaps-encounter02.html">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.; period = 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</a></li><li><a href="Patient-gaps-patient02.html">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></li><li><a href="Procedure-gaps-procedure01.html">Procedure Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</a></li></ul></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="proportion"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-certificationIdentifier">
              <valueIdentifier>
                <system value="urn:oid:2.16.840.1.113883.3.2074.1"/>
                <value value="0015HQN9BD3304E"/>
              </valueIdentifier>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor">
              <valueReference>🔗
                <reference
                           value="Organization/gaps-organization-reportingvendor"/>
              </valueReference>
            </extension>
            <status value="complete"/>
            <type value="individual"/>
            <measure
                     value="http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000"/>
            <subject>🔗
              <reference value="Patient/gaps-patient02"/>
            </subject>
            <date value="2020-06-30T13:08:52+00:00"/>
            <reporter>🔗
              <reference value="Organization/gaps-organization-reportingvendor"/>
            </reporter>
            <period>
              <start value="2020-01-01"/>
              <end value="2020-12-31"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
              </coding>
            </improvementNotation>
            <group id="group-exm130">
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="group-exm130"/>
              </extension>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="numerator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                    <display value="Numerator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                    <display value="Denominator"/>
                  </coding>
                </code>
                <count value="1"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator-exclusion"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator-exclusion"/>
                    <display value="Denominator Exclusion"/>
                  </coding>
                </code>
                <count value="0"/>
              </population>
              <measureScore>
                <value value="1.0"/>
              </measureScore>
            </group>
            <evaluatedResource>🔗
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
                <valueString value="initial-population"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
                <valueString value="denominator"/>
              </extension>
              <reference value="Encounter/gaps-encounter02"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
                <valueString value="initial-population"/>
              </extension>
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
                <valueString value="denominator"/>
              </extension>
              <reference value="Patient/gaps-patient02"/>
            </evaluatedResource>
            <evaluatedResource>🔗
              <extension
                         url="http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference">
                <valueString value="numerator"/>
              </extension>
              <reference value="Procedure/gaps-procedure01"/>
            </evaluatedResource>
          </MeasureReport>
        </resource>
      </entry>
      <entry>
        <fullUrl value="http://example.org/fhir/gaps/Patient/gaps-patient02"/>
        <resource>
          <Patient>
            <id value="gaps-patient02"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_gaps-patient02"> </a><p class="res-header-id"><b>Generated Narrative: Patient gaps-patient02</b></p><a name="gaps-patient02"> </a><a name="hcgaps-patient02"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-patient.html">QICore Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity: 2135-2</a> (Hispanic or Latino)</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

     - American Indian or Alaska Native
     - Asian
     - Black or African American
     - Native Hawaiian or Other Pacific Islander
     - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>text: Asian</li></ul></td></tr></table></div>
            </text>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2028-9"/>
                  <display value="Asian"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Asian"/>
              </extension>
            </extension>
            <extension
                       url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
              <extension url="ombCategory">
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.238"/>
                  <code value="2135-2"/>
                  <display value="Hispanic or Latino"/>
                </valueCoding>
              </extension>
              <extension url="text">
                <valueString value="Hispanic or Latino"/>
              </extension>
            </extension>
            <identifier>
              <use value="usual"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                  <display value="Medical Record Number"/>
                </coding>
              </type>
              <system value="http://hospital.smarthealthit.org"/>
              <value value="999996992"/>
            </identifier>
            <name>
              <family value="Ludwich"/>
              <given value="Thomas"/>
            </name>
            <gender value="male"/>
            <birthDate value="1957-01-01"/>
          </Patient>
        </resource>
      </entry>
    </Bundle>