From a9dbf2c29b4a492b38f0479786a43ddac19e252a Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Tue, 10 Dec 2024 12:53:30 -0700 Subject: [PATCH 1/6] added extension, value set and code system. --- input/ig.json | 6 + input/oids.ini | 9 +- .../resources/CodeSystem-care-gap-remark.json | 56 +++ ...ureDefinition-extension-careGapRemark.json | 362 ++++++++++++++++++ input/resources/ValueSet-care-gap-remark.json | 18 + 5 files changed, 448 insertions(+), 3 deletions(-) create mode 100644 input/resources/CodeSystem-care-gap-remark.json create mode 100644 input/resources/StructureDefinition-extension-careGapRemark.json create mode 100644 input/resources/ValueSet-care-gap-remark.json diff --git a/input/ig.json b/input/ig.json index 8da0b0bb..058d811d 100644 --- a/input/ig.json +++ b/input/ig.json @@ -1136,6 +1136,12 @@ "reference": "ValueSet/update-type" } }, + { + "exampleBoolean": false, + "reference": { + "reference": "StructureDefinition/extension-careGapRemark" + } + }, { "exampleBoolean": false, "reference": { diff --git a/input/oids.ini b/input/oids.ini index 2647f476..19b35db2 100644 --- a/input/oids.ini +++ b/input/oids.ini @@ -7,9 +7,9 @@ information5 = (b) you can change the oid of the resource to an OID you assign m information6 = There is never a reason to edit anything else [Key] -CodeSystem = 3 -ValueSet = 3 -StructureDefinition = 31 +CodeSystem = 4 +ValueSet = 4 +StructureDefinition = 32 OperationDefinition = 5 CapabilityStatement = 8 Library = 4 @@ -19,11 +19,13 @@ Measure = 6 care-gap-reason = 2.16.840.1.113883.4.642.40.2.16.1 gaps-status = 2.16.840.1.113883.4.642.40.2.16.2 update-type = 2.16.840.1.113883.4.642.40.2.16.3 +care-gap-remark = 2.16.840.1.113883.4.642.40.23.16.4 [ValueSet] care-gap-reason = 2.16.840.1.113883.4.642.40.2.48.1 gaps-status = 2.16.840.1.113883.4.642.40.2.48.2 update-type = 2.16.840.1.113883.4.642.40.2.48.3 +care-gap-remark = 2.16.840.1.113883.4.642.40.23.48.4 [StructureDefinition] cqf-denominatorMembership = 2.16.840.1.113883.4.642.40.2.42.1 @@ -57,6 +59,7 @@ reasonDetail = 2.16.840.1.113883.4.642.40.2.42.28 subjectlist-measurereport-deqm = 2.16.840.1.113883.4.642.40.2.42.29 summary-measurereport-deqm = 2.16.840.1.113883.4.642.40.2.42.30 measurereport-supplementalData = 2.16.840.1.113883.4.642.40.23.42.31 +extension-careGapRemark = 2.16.840.1.113883.4.642.40.23.42.32 [OperationDefinition] bulk-submit-data = 2.16.840.1.113883.4.642.40.2.33.1 diff --git a/input/resources/CodeSystem-care-gap-remark.json b/input/resources/CodeSystem-care-gap-remark.json new file mode 100644 index 00000000..147ff9e5 --- /dev/null +++ b/input/resources/CodeSystem-care-gap-remark.json @@ -0,0 +1,56 @@ +{ + "resourceType": "CodeSystem", + "status": "active", + "content": "complete", + "name": "CareGapRemark", + "id": "care-gap-remark", + "title": "Care Gap Remark Code System", + "version": "1.0.0", + "url": "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/care-gap-remark", + "experimental": false, + "description": "This is a code system for Care Gap Remark", + "caseSensitive": true, + "concept": [ + { + "code": "order-placed", + "display": "Order placed", + "definition": "The order has been placed." + }, + { + "code": "satisfied-in-EHR", + "display": "Satisfied in EHR", + "definition": "This gap was satisfied in EHR." + }, + { + "code": "out-of-range", + "display": "Out of range", + "definition": "Gap is out of range." + }, + { + "code": "patient-refused", + "display": "Patient refused", + "definition": "Gap is due to patient refusal." + }, + { + "code": "rejected", + "display": "Rejected", + "definition": "Gap is due to rejection." + }, + { + "code": "suppressed", + "display": "Suppressed", + "definition": "" + }, + { + "code": "not-assessed", + "display": "Not assessed", + "definition": "" + }, + { + "code": "not-ingested", + "display": "Not ingested", + "definition": "" + } + ], + "count": 8 +} diff --git a/input/resources/StructureDefinition-extension-careGapRemark.json b/input/resources/StructureDefinition-extension-careGapRemark.json new file mode 100644 index 00000000..a3a13638 --- /dev/null +++ b/input/resources/StructureDefinition-extension-careGapRemark.json @@ -0,0 +1,362 @@ +{ + "resourceType": "StructureDefinition", + "id": "extension-careGapRemark", + "extension": [ + { + "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", + "valueCode": "trial-use" + } + ], + "url": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark", + "name": "DEQMCareGapRemarkExtension", + "title": "DEQM Care Gap Remark Extension", + "status": "active", + "experimental": false, + "date": "2024-12-03", + "publisher": "Da Vinci Project", + "contact": [ + { + "telecom": [ + { + "system": "url", + "value": "http://www.hl7.org/Special/committees/cqi/index.cfm" + } + ] + } + ], + "description": "This extension allows a coded and/or narrative remark be added to a Care Gap's Individual Measure Report that adds context from a Provider about the gap.", + "fhirVersion": "4.0.1", + "kind": "complex-type", + "abstract": false, + "context": [ + { + "type": "element", + "expression": "MeasureReport.Group" + } + ], + "type": "Extension", + "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension", + "derivation": "constraint", + "differential": { + "element": [ + { + "id": "Extension", + "path": "Extension", + "condition": ["cgr-1"], + "short": "Condition Category remark", + "definition": "Remark about a Condition Category.", + "min": 0, + "max": "*", + "constraint": [ + { + "key": "cgr-1", + "severity": "error", + "human": "A remark shall include an author, an authorOrganization, or an authorSoftware", + "expression": "extension.where(url = 'author').exists() or extension.where(url = 'authorOrganization').exists() or extension.where(url = 'authorSoftware').exists()" + } + ] + }, + { + "id": "Extension.extension:author", + "path": "Extension.extension", + "sliceName": "author", + "short": "Identifier of the person who added the remark such as NPI", + "min": 0, + "max": "1", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:author.url", + "path": "Extension.extension.url", + "short": "Identifier of the person who added the remark such as NPI", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "author" + }, + { + "id": "Extension.extension:author.value[x]", + "path": "Extension.extension.value[x]", + "short": "Identifier of the person who added the remark such as NPI", + "min": 1, + "max": "1", + "type": [ + { + "code": "Identifier" + }, + { + "code": "string" + } + ] + }, + { + "id": "Extension.extension:authorOrganization", + "path": "Extension.extension", + "sliceName": "authorOrganization", + "short": "Identifier of the organization that added the remark such as TIN, NPI.", + "min": 0, + "max": "1", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:authorOrganization.url", + "path": "Extension.extension.url", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "authorOrganization" + }, + { + "id": "Extension.extension:authorOrganization.value{x}", + "path": "Extension.extension.value[x]", + "sliceName": "authorOrganization", + "min": 1, + "max": "1", + "type": [ + { + "code": "Identifier" + }, + { + "code": "string" + } + ] + }, + { + "id": "Extension.extension:authorSoftware", + "path": "Extension.extension", + "sliceName": "authorSoftware", + "short": "Identifier of the software that added the remark.", + "min": 0, + "max": "1", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:authorSoftware.url", + "path": "Extension.extension.url", + "min": 1, + "max": "1", + "type": [ + { + "code": "url" + } + ], + "fixedUri": "authorSoftware" + }, + { + "id": "Extension.extension:authorSoftware.value[x]", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "Identifier" + }, + { + "code": "string" + } + ], + "fixedUri": "authorSoftware" + }, + { + "id": "Extension.extension:authorDatetime", + "path": "Extension.extension", + "sliceName": "authorDatetime", + "short": "When the remark was added", + "min": 0, + "max": "1", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:authorDatetime.url", + "path": "Extension.extension.url", + "sliceName": "authorDatetime", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "authorDatetime" + }, + { + "id": "Extension.extension:authorDatetime.value[x]", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "dateTime" + } + ] + }, + { + "id": "Extension.extension:text", + "path": "Extension.extension", + "sliceName": "text", + "short": "Free text remark", + "min": 0, + "max": "*", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:text.url", + "path": "Extension.extension.url", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "text" + }, + { + "id": "Extension.extension:text.value[x]", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "string" + } + ] + }, + { + "id": "Extension.extension:code", + "path": "Extension.extension", + "sliceName": "code", + "short": "Coded remark", + "min": 0, + "max": "1", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:code.url", + "path": "Extension.extension.url", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "code" + }, + { + "id": "Extension.extension:code.valueCodeableConcept", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "binding": { + "strength": "extensible", + "valueSet": "http://hl7.org/fhir/us/davinci-deqm/ValueSet/care-gap-remark" + } + }, + { + "id": "Extension.extension:relatedDataIdentifier", + "path": "Extension.extension", + "sliceName": "relatedDataIdentifier", + "short": "Related data identifier", + "min": 0, + "max": "*", + "type": [ + { + "code": "Extension" + } + ] + }, + { + "id": "Extension.extension:relatedDataIdentifier.url", + "path": "Extension.extension.url", + "min": 1, + "max": "1", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "relatedDataIdentifier" + }, + { + "id": "Extension.extension:relatedDataIdentifier.value[x]", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "Identifier" + } + ] + }, + { + "id": "Extension.extension:code.valueCodeableConcept", + "path": "Extension.extension.value[x]", + "min": 1, + "max": "1", + "type": [ + { + "code": "CodeableConcept" + } + ], + "binding": { + "strength": "preferred", + "valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code" + } + }, + { + "id": "Extension.url", + "path": "Extension.url", + "type": [ + { + "code": "uri" + } + ], + "fixedUri": "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-careGapRemark" + }, + { + "id": "Extension.value[x]", + "path": "Extension.value[x]", + "min": 0, + "max": "0" + } + ] + } +} diff --git a/input/resources/ValueSet-care-gap-remark.json b/input/resources/ValueSet-care-gap-remark.json new file mode 100644 index 00000000..ed58aa9e --- /dev/null +++ b/input/resources/ValueSet-care-gap-remark.json @@ -0,0 +1,18 @@ +{ + "resourceType": "ValueSet", + "status": "active", + "name": "CareGapRemark", + "id": "care-gap-remark", + "title": "Care Gap Remark Value Set", + "version": "3.0.0", + "url": "http://hl7.org/fhir/us/davinci-deqm/ValueSet/care-gap-remark", + "experimental": false, + "description": "This is a ValueSet for Care Gap Remark", + "compose": { + "include": [ + { + "system": "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/care-gap-remark" + } + ] + } +} From b9a4e2f198880b3bce50fd6ab253f6930d65947e Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Mon, 16 Dec 2024 13:42:33 -0700 Subject: [PATCH 2/6] finished StructureDefinition-extensions-careGapRemark --- .../StructureDefinition-extension-careGapRemark.json | 7 +++---- 1 file changed, 3 insertions(+), 4 deletions(-) diff --git a/input/resources/StructureDefinition-extension-careGapRemark.json b/input/resources/StructureDefinition-extension-careGapRemark.json index a3a13638..49116f24 100644 --- a/input/resources/StructureDefinition-extension-careGapRemark.json +++ b/input/resources/StructureDefinition-extension-careGapRemark.json @@ -157,7 +157,7 @@ "max": "1", "type": [ { - "code": "url" + "code": "uri" } ], "fixedUri": "authorSoftware" @@ -174,8 +174,7 @@ { "code": "string" } - ], - "fixedUri": "authorSoftware" + ] }, { "id": "Extension.extension:authorDatetime", @@ -327,7 +326,7 @@ ] }, { - "id": "Extension.extension:code.valueCodeableConcept", + "id": "Extension.extension:code.condition.valueCodeableConcept", "path": "Extension.extension.value[x]", "min": 1, "max": "1", From 136f93b346ade3fe0310dc7c777d2a506c778b0e Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Wed, 18 Dec 2024 13:58:31 -0700 Subject: [PATCH 3/6] tweaks working for functionality --- input/oids.ini | 6 +++-- .../resources/CodeSystem-care-gap-remark.json | 16 +++++++------- input/resources/CodeSystem-remark-reason.json | 21 ++++++++++++++++++ ...ureDefinition-extension-careGapRemark.json | 19 ++++++++++++++++ input/resources/Valueset-remark-reason.json | 22 +++++++++++++++++++ 5 files changed, 74 insertions(+), 10 deletions(-) create mode 100644 input/resources/CodeSystem-remark-reason.json create mode 100644 input/resources/Valueset-remark-reason.json diff --git a/input/oids.ini b/input/oids.ini index 19b35db2..51212be1 100644 --- a/input/oids.ini +++ b/input/oids.ini @@ -7,8 +7,8 @@ information5 = (b) you can change the oid of the resource to an OID you assign m information6 = There is never a reason to edit anything else [Key] -CodeSystem = 4 -ValueSet = 4 +CodeSystem = 5 +ValueSet = 5 StructureDefinition = 32 OperationDefinition = 5 CapabilityStatement = 8 @@ -20,12 +20,14 @@ care-gap-reason = 2.16.840.1.113883.4.642.40.2.16.1 gaps-status = 2.16.840.1.113883.4.642.40.2.16.2 update-type = 2.16.840.1.113883.4.642.40.2.16.3 care-gap-remark = 2.16.840.1.113883.4.642.40.23.16.4 +remark-reason = 2.16.840.1.113883.4.642.40.23.16.5 [ValueSet] care-gap-reason = 2.16.840.1.113883.4.642.40.2.48.1 gaps-status = 2.16.840.1.113883.4.642.40.2.48.2 update-type = 2.16.840.1.113883.4.642.40.2.48.3 care-gap-remark = 2.16.840.1.113883.4.642.40.23.48.4 +remark-reason = 2.16.840.1.113883.4.642.40.23.48.5 [StructureDefinition] cqf-denominatorMembership = 2.16.840.1.113883.4.642.40.2.42.1 diff --git a/input/resources/CodeSystem-care-gap-remark.json b/input/resources/CodeSystem-care-gap-remark.json index 147ff9e5..69c08030 100644 --- a/input/resources/CodeSystem-care-gap-remark.json +++ b/input/resources/CodeSystem-care-gap-remark.json @@ -14,42 +14,42 @@ { "code": "order-placed", "display": "Order placed", - "definition": "The order has been placed." + "definition": "An order has been placed to address and close the gap" }, { "code": "satisfied-in-EHR", "display": "Satisfied in EHR", - "definition": "This gap was satisfied in EHR." + "definition": "Data already present in the EHR satisfies the open gap." }, { "code": "out-of-range", "display": "Out of range", - "definition": "Gap is out of range." + "definition": "EHR reports patient condition is not within allowed threshold." }, { "code": "patient-refused", "display": "Patient refused", - "definition": "Gap is due to patient refusal." + "definition": "Patient refused intervention to close the gap." }, { "code": "rejected", "display": "Rejected", - "definition": "Gap is due to rejection." + "definition": "Action to address the gap was rejected by the provider." }, { "code": "suppressed", "display": "Suppressed", - "definition": "" + "definition": "Presentation of the gap to the provider was suppressed." }, { "code": "not-assessed", "display": "Not assessed", - "definition": "" + "definition": "Gap was shown to the provider but no action was taken to assess the gap." }, { "code": "not-ingested", "display": "Not ingested", - "definition": "" + "definition": "System cannot process the gap that was received." } ], "count": 8 diff --git a/input/resources/CodeSystem-remark-reason.json b/input/resources/CodeSystem-remark-reason.json new file mode 100644 index 00000000..ac20521e --- /dev/null +++ b/input/resources/CodeSystem-remark-reason.json @@ -0,0 +1,21 @@ +{ + "resourceType": "CodeSystem", + "id": "remark-reason", + "url": "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/remark-reason", + "name": "RemarkReason", + "title": "Remark Reason CodeSystem", + "status": "active", + "experimental": false, + "description": "Reason codes for remark", + "caseSensitive": true, + "valueSet": "http://hl7.org/fhir/us/davinci-deqm/ValueSet/remark-reason", + "content": "complete", + "concept": [ + { + "code": "inapplicable-gap", + "display": "Inapplicable gap", + "definition": "Reason for the remark is because the gap is not applicable to the patient." + } + ], + "count": 1 +} diff --git a/input/resources/StructureDefinition-extension-careGapRemark.json b/input/resources/StructureDefinition-extension-careGapRemark.json index 49116f24..da4929c0 100644 --- a/input/resources/StructureDefinition-extension-careGapRemark.json +++ b/input/resources/StructureDefinition-extension-careGapRemark.json @@ -56,6 +56,25 @@ } ] }, + { + "id": "Extension.extension", + "path": "Extension.extension", + "slicing": { + "discriminator": [ + { + "type": "value", + "path": "url" + } + ], + "rules": "open", + "description": "Slices based on the url value." + }, + "min": 0, + "max": "*", + "type": [ + { "code": "Extension" } + ] + }, { "id": "Extension.extension:author", "path": "Extension.extension", diff --git a/input/resources/Valueset-remark-reason.json b/input/resources/Valueset-remark-reason.json new file mode 100644 index 00000000..798e5770 --- /dev/null +++ b/input/resources/Valueset-remark-reason.json @@ -0,0 +1,22 @@ +{ + "resourceType": "ValueSet", + "id": "remark-reason", + "meta": { + "profile": [ + "http://hl7.org/fhir/StructureDefinition/shareablevalueset" + ] + }, + "url": "http://hl7.org/fhir/us/davinci-deqm/ValueSet/remark-reason", + "name": "RemarkReason", + "title": "Remark Reason", + "status": "active", + "experimental": false, + "description": "Reason for the remark", + "compose": { + "include": [ + { + "system": "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/remark-reason" + } + ] + } +} From d3ab362fe4a3f155456c9bc2198003fb9ae755ac Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Fri, 20 Dec 2024 11:52:38 -0700 Subject: [PATCH 4/6] working structuredefinition --- ...ctureDefinition-extension-careGapRemark.json | 17 ----------------- 1 file changed, 17 deletions(-) diff --git a/input/resources/StructureDefinition-extension-careGapRemark.json b/input/resources/StructureDefinition-extension-careGapRemark.json index da4929c0..7cef70bf 100644 --- a/input/resources/StructureDefinition-extension-careGapRemark.json +++ b/input/resources/StructureDefinition-extension-careGapRemark.json @@ -144,7 +144,6 @@ { "id": "Extension.extension:authorOrganization.value{x}", "path": "Extension.extension.value[x]", - "sliceName": "authorOrganization", "min": 1, "max": "1", "type": [ @@ -211,7 +210,6 @@ { "id": "Extension.extension:authorDatetime.url", "path": "Extension.extension.url", - "sliceName": "authorDatetime", "min": 1, "max": "1", "type": [ @@ -344,21 +342,6 @@ } ] }, - { - "id": "Extension.extension:code.condition.valueCodeableConcept", - "path": "Extension.extension.value[x]", - "min": 1, - "max": "1", - "type": [ - { - "code": "CodeableConcept" - } - ], - "binding": { - "strength": "preferred", - "valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code" - } - }, { "id": "Extension.url", "path": "Extension.url", From dee915d71a14702a0ea548ef46d325b75493104c Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Mon, 6 Jan 2025 13:22:09 -0700 Subject: [PATCH 5/6] added documentation; added extension to individual measurereport --- input/pagecontent/gaps-in-care-reporting.md | 10 ++++++++++ .../StructureDefinition-indv-measurereport-deqm.xml | 11 +++++++++++ 2 files changed, 21 insertions(+) diff --git a/input/pagecontent/gaps-in-care-reporting.md b/input/pagecontent/gaps-in-care-reporting.md index fbd774cd..8e87eaf9 100644 --- a/input/pagecontent/gaps-in-care-reporting.md +++ b/input/pagecontent/gaps-in-care-reporting.md @@ -150,6 +150,16 @@ Example Business Use Cases: By incorporating the [Detailed Care Gap Guidance Response profile](StructureDefinition-gaps-guidanceresponse-detailedcaregap.html), healthcare organizations can receive tailored and actionable guidance on addressing specific care gaps. The inclusion of `reasonCode` and `dataRequirement` enables standardized categorization, context-specific recommendations, and ensures a more focused approach to quality improvement efforts. +#### Add Remark to Gaps in Care Report +{:.no_toc} + +Note to Balloters: We are actively seeking input on [remark codes](CodeSystem-care-gap-remark.html), the [remark value set](ValueSet-care-gap-remark.html), and the remark workflow. +{:.note-to-balloters} + +When considering a Gaps in Care Report, a provider may add remarks using the [Care Gap Remark](StructureDefinition-extension-careGapRemark.html) extension. The remark can be free-text or a remark code. + +See the Condition Category Remark section of the [Risk Adjustment IG](https://build.fhir.org/ig/HL7/davinci-ra/cc-remark.html) for related usage. + #### Attribution {:.no_toc} diff --git a/input/resources/StructureDefinition-indv-measurereport-deqm.xml b/input/resources/StructureDefinition-indv-measurereport-deqm.xml index 7fcb804d..6327a0e3 100644 --- a/input/resources/StructureDefinition-indv-measurereport-deqm.xml +++ b/input/resources/StructureDefinition-indv-measurereport-deqm.xml @@ -65,6 +65,17 @@ + + + + + + + + + + + From 740589653edd43ad40871e2b6be1961f4b0ad010 Mon Sep 17 00:00:00 2001 From: Bryant Austin Date: Mon, 6 Jan 2025 15:22:04 -0700 Subject: [PATCH 6/6] Changes added to change-notes --- input/pagecontent/change-notes.md | 1 + 1 file changed, 1 insertion(+) diff --git a/input/pagecontent/change-notes.md b/input/pagecontent/change-notes.md index 387eabf6..54bc92fb 100644 --- a/input/pagecontent/change-notes.md +++ b/input/pagecontent/change-notes.md @@ -5,6 +5,7 @@ The Data Exchange For Quality Measures Implementation Guide was developed under 1. Applied the following trackers: - DEQM STU5 Final Publication: Build QA #1 (individual measure report errors)([CQF-2428](https://icf.atlassian.net/browse/CQF-2428))([Applied here](StructureDefinition-indv-measurereport-deqm.html)) + - Consider adding Annotation capability from Risk Adjustment to the Individual MeasureReport([FHIR-40675](https://jira.hl7.org/browse/FHIR-40675)) Applied ([here](StructureDefinition-extension-careGapRemark.html)), ([here](CodeSystem-care-gap-remark.html)), ([here](ValueSet-care-gap-remark.html)), ([here](CodeSystem-remark-reason.html)), ([here](ValueSet-remark-reason.html)), ([here](ig.json)), ([here](gaps-in-care-reporting.html)), and ([here](StructureDefinition-indv-measurereport-deqm.html)) ### Changes and Updates for STU5 Ballot for 2024Sept Version of the DEQM IG.