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Gaps In Care

MegRiley edited this page Apr 21, 2021 · 25 revisions

Types of Gaps:

  • OR Gaps - A set of gaps for which only one gap needs to be closed in order for the patient to meet standards for quality of care

  • AND Gaps - A set of gaps for which every gap must be closed in order for the patient to meet standards for quality of care

Representing Gaps

Gaps are presented as a resource known as a "GuidanceResponse", instructions on generating this resource can be found here


  "resourceType": "GuidanceResponse",
  "id": "e3505055-e235-401d-9487-e9e250cc16dd",
  "dataRequirement": [
    {
      "type": "Observation",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://example.com/test-vs"
        },
        {
          "path": "status",
          "code": [{
            "system": "http://hl7.org/fhir/observation-status",
            "code": "final"
          }]
        }
      ]
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "CareGapReasonCodeSystem",
          "code": "IncorectAttribute",
          "display": "Data element had an incorrect attribute value"
        }
      ]
    }
  ],
  "status": "data-required",
  "moduleUri": "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130"
}```
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