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Copy file name to clipboardExpand all lines: hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/docs/clinical_reasoning/caregaps.md
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# Care Gaps
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## Overview
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A gap in care refers to a discrepancy or gap in a patient's care that has been identified through analysis of their medical records, history, and current health status.
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These gaps can include missing or incomplete information, unmet health needs, and opportunities for preventative care or intervention. Identifying and addressing care gaps can help improve the quality of care provided to patients, reduce healthcare costs, and ultimately lead to better health outcomes.
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| MeasureReport | DEQM Gaps In Care MeasureReport Profile |[DEQM Gaps In Care MeasureReport Profile](http://hl7.org/fhir/us/davinci-deqm/2023Jan/StructureDefinition-indv-measurereport-deqm.html)|
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## Gaps in Care Reporting
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[Gaps through period](http://hl7.org/fhir/us/davinci-deqm/2023Jan/index.html#glossary) is the time period defined by a Client for running the Gaps in Care Report.
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[Gaps through period](http://hl7.org/fhir/us/davinci-deqm/2023Jan/index.html#glossary) is the time period defined by a Client for running the Gaps in Care Report.
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* When the [gaps through period](http://hl7.org/fhir/us/davinci-deqm/2023Jan/index.html#glossary) ends on a date that is in the future, the Gaps in Care Reporting is said to look for care gaps prospectively. In this scenario, it provides providers with opportunities to assess anticipated [open gaps](http://build.fhir.org/ig/HL7/davinci-deqm/index.html#glossary) and take proper actions to close the gaps.
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* When the [gaps through period](http://hl7.org/fhir/us/davinci-deqm/2023Jan/index.html#glossary) ends on a date that is in the past, the Gaps in Care Reporting is said to look for care gaps retrospectively. In the retrospective scenario, identified [open gaps](http://build.fhir.org/ig/HL7/davinci-deqm/index.html#glossary) can no longer be acted upon to meet the quality measure.
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| Retrospective Use Case | $care-gaps?periodStart=2020-01-01&periodEnd=2020-12-31&subject=Patient/123&measureId=EXM130-7.3.000&status=open-gap | 2020-01-01| 2020-12-31 | 2021-04-01 | Example: patient had colonoscopy on 2011-05-03 | Returns gaps through 2020-12-31. The Gaps in Care Report indicates the patient has a [closed gaps](http://build.fhir.org/ig/HL7/davinci-deqm/index.html#glossary) for the colorectal cancer screening measure. Since on 2020-12-31, the procedure would have occurred within the specified 10-year timeframe. |
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## Operations
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Hapi FHIR implements the [$care-gaps](http://hl7.org/fhir/us/davinci-deqm/2023Jan/OperationDefinition-care-gaps.html) operation.
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## Care Gaps
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The `$care-gaps` operation is used to run a Gaps in Care Report.
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### Testing care gaps on Hapi FHIR
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Hapi FHIR is integrated with `$care-gaps` operations and following are the steps to identify open gap on sample data following the remediation step to generate a report for closed gap.
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All the sample files used below are available on [hapi-fhir](https://github.com/hapifhir/hapi-fhir/tree/master/hapi-fhir-storage-cr/src/test/resources) code base under resources folder.
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