Merge pull request #235 from HL7/FHIR-48730-Change-GIC-text-to-reflec…

…t-optional-Composition Fhir 48730 change gic text to reflect optional composition
HL7 · Jan 20, 2025 · c90aa7d · c90aa7d
2 parents 8c1a374 + e7ef910
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diff --git a/input/pagecontent/change-notes.md b/input/pagecontent/change-notes.md
@@ -12,6 +12,8 @@ The Data Exchange For Quality Measures Implementation Guide was developed under
    - typo needs correction ([FHIR-46863](https://jira.hl7.org/browse/FHIR-46863))([Applied here](guidance.html#data-exchange))
    - "value-based" with hyphen ([FHIR-48447](https://jira.hl7.org/browse/FHIR-48447))([Applied here](index.html#introduction))
    - 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))
+   - Change GIC text to reflect optional Composition ([FHIR-48730](https://jira.hl7.org/browse/FHIR-48730))Applied ([here](gaps-in-care-reporting.html#how-to-construct-a-gaps-in-care-report))
+
 
 ### Changes and Updates for STU5 Ballot for 2024Sept Version of the DEQM IG.
 

diff --git a/input/pagecontent/gaps-in-care-reporting.md b/input/pagecontent/gaps-in-care-reporting.md
@@ -102,7 +102,7 @@ Figure 2-17 shows an example workflow for running the [care-gaps](OperationDefin
 
 This section describes the profiles used for Gaps in Care Reporting and how they are used to construct a Gaps in Care Report.
 
-The [care-gaps](OperationDefinition-care-gaps.html) operation returns a [Parameters](https://www.hl7.org/fhir/parameters.html) resource that contains zero or more `parameter` with document bundle for each patient for which a Gaps in Care report is calculated. The bundle SHALL conform to the [DEQM Gaps In Care Bundle Profile]. A Gaps In Care Bundle SHALL contain a Composition entry, which uses the [DEQM Gaps In Care Composition Profile].
+The [care-gaps](OperationDefinition-care-gaps.html) operation returns a [Parameters](https://www.hl7.org/fhir/parameters.html) resource that contains zero or more `parameter` with document bundle for each patient for which a Gaps in Care report is calculated. The bundle SHALL conform to the [DEQM Gaps In Care Bundle Profile]. A Gaps In Care Bundle can optionally contain a Composition entry, which uses the [DEQM Gaps In Care Composition Profile],  to define a document composition consisting of one or more MeasureReports.
 
 The [DEQM Gaps in Care Composition Profile] builds on the base FHIR Composition resource, where its type code is constrained to a fixed LOINC code to identify the Composition as a Gaps in Care Report. The `subject` of a Gaps In Care Composition is required, it is used to reference the patient, [QI Core Patient], the Gaps in Care Report is for. The Gaps In Care Composition SHALL contain one to many section(s). Each `section` has a `focus` element that references an Individual MeasureReport for a specific measure. All Individual MeasureReport referenced SHALL be for the same patient specified in the Composition `subject`. Each `section` SHALL also contain one or more `entry` of DetectedIssue using the [DEQM Gaps In Care DetectedIssue Profile] for the measure regardless of its gap status (e.g., open or closed).