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

## Resource Profile: DEQM Gaps In Care Detected Issue Profile 

 
The DEQM Gaps In Care DetectedIssue Profile indicates that the measure reported has an open gap, prospective-gap or a closed gap as identified in the gapStatus modifier extension. 

### Mandatory Data Elements and Terminology

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

**Each DetectedIssue Must Have:**

1. modifierExtension: Gap Status
1. evidence: Supporting evidence
1. code: Issue Category, e.g. drug-drug, duplicate therapy, etc.
1. status: registered | preliminary | final | amended +
1. evidence.detail: This references either a DEQM Individual MeasureReport or a Detailed Care Gap Guidance Response resource.
1. patient: Associated patient

**Each DetectedIssue Must Support:**

1. criteriaReference: Criteria reference

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

**Usages:**

* Refer to this Profile: [DEQM Gaps In Care Composition Profile](StructureDefinition-deqm-gapsincarecomposition.md)
* Examples for this Profile: [DetectedIssue/gaps-detectedissue01](DetectedIssue-gaps-detectedissue01.md), [DetectedIssue/gaps-detectedissue02](DetectedIssue-gaps-detectedissue02.md), [DetectedIssue/gaps-detectedissue03](DetectedIssue-gaps-detectedissue03.md), [DetectedIssue/gaps-detectedissue04](DetectedIssue-gaps-detectedissue04.md) and [DetectedIssue/gaps-detectedissue05](DetectedIssue-gaps-detectedissue05.md)

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

### 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-gapsincaredetectedissue.csv), [Excel](../StructureDefinition-deqm-gapsincaredetectedissue.xlsx), [Schematron](../StructureDefinition-deqm-gapsincaredetectedissue.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "deqm-gapsincaredetectedissue",
  "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-gapsincaredetectedissue",
  "version" : "1.0.0-ballot",
  "name" : "DEQMGapsInCareDetectedIssue",
  "title" : "DEQM Gaps In Care Detected Issue 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 DetectedIssue Profile indicates that the measure reported has an open gap, prospective-gap or a closed gap as identified in the gapStatus modifier extension.",
  "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" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DetectedIssue",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DetectedIssue",
      "path" : "DetectedIssue"
    },
    {
      "id" : "DetectedIssue.modifierExtension:gapStatus",
      "path" : "DetectedIssue.modifierExtension",
      "sliceName" : "gapStatus",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapStatus"]
      }],
      "mustSupport" : true,
      "isModifier" : true,
      "isModifierReason" : "Identifies care gap status detected"
    },
    {
      "id" : "DetectedIssue.code",
      "path" : "DetectedIssue.code",
      "min" : 1,
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "CAREGAP"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "DetectedIssue.patient",
      "path" : "DetectedIssue.patient",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DetectedIssue.evidence",
      "path" : "DetectedIssue.evidence",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "DetectedIssue.evidence.detail",
      "path" : "DetectedIssue.evidence.detail",
      "short" : "This references either a DEQM Individual MeasureReport or a Detailed Care Gap Guidance Response resource.",
      "comment" : "The reason that this supports a reference to a DEQM Individual MeasureReport is because a DEQM Gaps In Care DetectedIssue may be used stand alone and not be part of the DEQM Gaps In Care Composition.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport",
        "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-detailedcaregapguidanceresponse"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DetectedIssue.evidence.detail.extension:criteriaReference",
      "path" : "DetectedIssue.evidence.detail.extension",
      "sliceName" : "criteriaReference",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"]
      }],
      "mustSupport" : true
    }]
  }
}

```
