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Search parameters for care gaps #4471
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How about No search param in R4: https://hl7.org/fhir/R4/detectedissue.html But it does have a search param in R5: https://hl7.org/fhir/R5/detectedissue.html And R5 includes
Makes sense to me 👍 Just a normal CodeableConcept extension? https://build.fhir.org/ig/HL7/davinci-deqm/StructureDefinition-extension-gapStatus.html With these 3 values? https://build.fhir.org/ig/HL7/davinci-deqm/CodeSystem-gaps-status.html |
Discussed offline with @codyebberson and decided on this path forward:
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Fix age display in PatientSummary (#4484)Fixes #4471 - DetectedIssue.status valueset and search param (#4483) Qualify columns with table name in generated SQL (#4487) fix(migrations): only take lock if migrating (#4490) Document updating profiles (#4402) Run expand tests against old and new (#4503) Adding OpenCareHub support post (#4504) [Medplum Provider app] Various fixes and touchups (#4500) ci(agent): add workflow for building agent outside of a release (#4512) feat(agent): `Agent/$reload-config` operation (#4457) Remove broken links to Foo Provider (#4518) Dependency upgrades 2024-05-06 (#4515) PatientSummary and provider app tweaks (#4521) Fixes #4509 - Improve exact match search support for token parameters in `matchesTokenFilter` (#4516) Link to new Demo Applications (#4514) Clarify that autobatching only applies to `GET` requests (#4479) Added missing useEffect dependency in chat demo (#4527) fix: allows CORS for `keyvalue` API (#4476) Fixes #4508 - MeasureReport-subject search param backport (#4530) Fix CLI update-server version flag (#4534) Patient summary appointments and encounters links (#4524) Remove unused DB columns (#4532) fix(agent): unwrap response for `$reload-config` by id (#4542) `PatientSummary` Problem List uses US Core profile (#4535) fix(cli): always exit with exit code 1 after error occurs during command (#4536) Add failing test about validating nested extensions (#4548) Add error message when `cli` fails on login (#4507) Remove functions moved to core (#4547) fix: AttachmentDisplay use uncached url for download link (#4501) feat(agent): respect `Agent.status` and `Agent.channel.endpoint.status` being `off` (#4523) CMS 1500 and Superbill (#4543) Demo Bot: Agent Setup (#4555) feat(Subscription): add `author` as a `SearchParameter` (#4540) Dependency upgrades 2024-05-13 (#4544) Full linked Project ordering in CodeSystem lookup (#4522) Disable super admin refresh tokens (#4492) Minor fixes for the agent setup bot (#4560) docs(agent): document how logging works with `Bot` and `Agent` (#4563) Split rate limits into two buckets (#4568) Properly detect array elements (#4569) Apply filter to ValueSet with expansion.contains (#4570) More efficiently validate included concepts (#4573) Dependency upgrades 2024-05-20 (#4574) tweak(agent): add timezone in status `lastUpdated` time (#4564) fix(client/keyvalue): set keyvalue content-type text (#4575) Allow configuring server default rate limits (#4491) feat(cli): add `token` command to get access token (#4579) Updating device resources and videos (#4578) fix(subscriptions): don't retry ws subs if sub is deleted (#4577) Add support for 'pr' filter operation (#4584) Super admin endpoint for database stats (#4443)
Fix age display in PatientSummary (#4484)Fixes #4471 - DetectedIssue.status valueset and search param (#4483) Qualify columns with table name in generated SQL (#4487) fix(migrations): only take lock if migrating (#4490) Document updating profiles (#4402) Run expand tests against old and new (#4503) Adding OpenCareHub support post (#4504) [Medplum Provider app] Various fixes and touchups (#4500) ci(agent): add workflow for building agent outside of a release (#4512) feat(agent): `Agent/$reload-config` operation (#4457) Remove broken links to Foo Provider (#4518) Dependency upgrades 2024-05-06 (#4515) PatientSummary and provider app tweaks (#4521) Fixes #4509 - Improve exact match search support for token parameters in `matchesTokenFilter` (#4516) Link to new Demo Applications (#4514) Clarify that autobatching only applies to `GET` requests (#4479) Added missing useEffect dependency in chat demo (#4527) fix: allows CORS for `keyvalue` API (#4476) Fixes #4508 - MeasureReport-subject search param backport (#4530) Fix CLI update-server version flag (#4534) Patient summary appointments and encounters links (#4524) Remove unused DB columns (#4532) fix(agent): unwrap response for `$reload-config` by id (#4542) `PatientSummary` Problem List uses US Core profile (#4535) fix(cli): always exit with exit code 1 after error occurs during command (#4536) Add failing test about validating nested extensions (#4548) Add error message when `cli` fails on login (#4507) Remove functions moved to core (#4547) fix: AttachmentDisplay use uncached url for download link (#4501) feat(agent): respect `Agent.status` and `Agent.channel.endpoint.status` being `off` (#4523) CMS 1500 and Superbill (#4543) Demo Bot: Agent Setup (#4555) feat(Subscription): add `author` as a `SearchParameter` (#4540) Dependency upgrades 2024-05-13 (#4544) Full linked Project ordering in CodeSystem lookup (#4522) Disable super admin refresh tokens (#4492) Minor fixes for the agent setup bot (#4560) docs(agent): document how logging works with `Bot` and `Agent` (#4563) Split rate limits into two buckets (#4568) Properly detect array elements (#4569) Apply filter to ValueSet with expansion.contains (#4570) More efficiently validate included concepts (#4573) Dependency upgrades 2024-05-20 (#4574) tweak(agent): add timezone in status `lastUpdated` time (#4564) fix(client/keyvalue): set keyvalue content-type text (#4575) Allow configuring server default rate limits (#4491) feat(cli): add `token` command to get access token (#4579) Updating device resources and videos (#4578) fix(subscriptions): don't retry ws subs if sub is deleted (#4577) Add support for 'pr' filter operation (#4584) Super admin endpoint for database stats (#4443)
User Driven: https://docs.google.com/document/d/1iqptRh1pot-n2gr51pAn-zoZsJO6yOU5LCp3I3j_aOo/edit#bookmark=id.dzb5c9scw2xh
The DEQM IG seems to be the authoritative guide on Modeling Care Gaps in FHIR (Smile, HAPI). They recommend using:
MeasureReport
to model clinical quality measures computed for a patientDetectedIssue
to model the presence of a care gapThe user wants to search filter on care gaps that are "open" vs. "closed", but there is no suitable out-of-the-box search parameter for this.
Proposal
DetectedIssue.mitigation.action
, which logically indicates that some action has been taken to close the care gapReference:
https://www.devdays.com/wp-content/uploads/2021/12/DD21US_20210610_Samuel_Sayer_Quality_Reporting.pdf
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