Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines
3.0.0-ballot - STU 3 Ballot
Clinical Practice Guidelines, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions
| Active as of 2026-11-10 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cpg-metric-result-cs</b></p><a name=\"cpg-metric-result-cs\"> </a><a name=\"hccpg-metric-result-cs\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">compliant<a name=\"cpg-metric-result-cs-compliant\"> </a></td><td>Compliant</td><td>The care delivered conforms to the scoped recommendation: the proposed activity was fulfilled by a corresponding request and/or event as specified, including any timing constraints, or, for a recommendation against an activity, the activity was not performed.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0compliant-with-prior-non-compliance<a name=\"cpg-metric-result-cs-compliant-with-prior-non-compliance\"> </a></td><td>Compliant with Prior Non-Compliance</td><td>Compliant, with at least one prior evaluation of the same metric for the same patient non-compliant within the metric's declared lookback.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">non-compliant<a name=\"cpg-metric-result-cs-non-compliant\"> </a></td><td>Non-Compliant</td><td>The care delivered does not conform to the scoped recommendation and no accepted exemption applies: the proposed activity was not fulfilled, was fulfilled outside the specified time window, or, for a recommendation against an activity, the activity was performed.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">at-risk-for-non-compliance<a name=\"cpg-metric-result-cs-at-risk-for-non-compliance\"> </a></td><td>At Risk for Non-Compliance</td><td>Not determined to be non-compliant, but the metric's declared predictive criterion indicates that non-compliance is likely within a declared horizon without intervention.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">adherent<a name=\"cpg-metric-result-cs-adherent\"> </a></td><td>Adherent</td><td>The scoped strategy's acceptance criteria are met. By default, when the metric declares no other criteria, every effective requirement (each applicable, non-exempted component) is met.</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0adherent-with-prior-non-adherence<a name=\"cpg-metric-result-cs-adherent-with-prior-non-adherence\"> </a></td><td>Adherent with Prior Non-Adherence</td><td>Adherent, with at least one prior evaluation of the same metric for the same patient partially adherent or non-adherent within the metric's declared lookback.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">partially-adherent<a name=\"cpg-metric-result-cs-partially-adherent\"> </a></td><td>Partially Adherent</td><td>The scoped strategy's acceptance criteria are not met, but its intermediate-attainment criteria are. By default, at least one effective requirement is met and at least one has failed.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">non-adherent<a name=\"cpg-metric-result-cs-non-adherent\"> </a></td><td>Non-Adherent</td><td>Neither the acceptance nor the intermediate-attainment criteria of the scoped strategy are met. By default, every effective requirement has failed; under authored criteria this can occur despite some fulfilled components, for example when a critical component has failed.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">at-risk-for-non-adherence<a name=\"cpg-metric-result-cs-at-risk-for-non-adherence\"> </a></td><td>At Risk for Non-Adherence</td><td>Not determined to be non-adherent, but the metric's declared predictive criterion indicates that non-adherence is likely within a declared horizon without intervention.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">pending<a name=\"cpg-metric-result-cs-pending\"> </a></td><td>Pending</td><td>The scoped element applies and its fulfillment window remains open; the expectation has not yet been met, has not yet failed, and no result is yet forced. A pending result is not final.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">on-hold<a name=\"cpg-metric-result-cs-on-hold\"> </a></td><td>On Hold</td><td>An authorized, currently effective temporary suspension of the scoped element's expectations under the metric's policy, while the element still applies and is not exempted. Makes no claim of success or failure; the last established result is retained as history and the metric is re-evaluated on resumption. A workflow hold (for example a CPGHoldTask or an on-hold request) is evidence of suspension only where the metric's policy accepts it.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">exempted<a name=\"cpg-metric-result-cs-exempted\"> </a></td><td>Exempted</td><td>The scoped recommendation or strategy applies to the patient, but an exemption accepted by the metric's policy (e.g., contraindication, clinical judgment, or a patient refusal where the policy accepts it) removes the expectation. An exemption accepted by one strategy does not by itself exempt the same component in another.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">not-applicable<a name=\"cpg-metric-result-cs-not-applicable\"> </a></td><td>Not Applicable</td><td>The scoped recommendation or strategy does not apply to the patient (e.g., its applicability criteria are not met), so no compliance or adherence expectation exists. A component that does not apply does not by itself make its parent not applicable.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">not-yet-evaluated<a name=\"cpg-metric-result-cs-not-yet-evaluated\"> </a></td><td>Not Yet Evaluated</td><td>An explicit assertion that the metric, though defined for the patient's case, has not yet been evaluated. The absence of a result does not imply this code.</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">unknown<a name=\"cpg-metric-result-cs-unknown\"> </a></td><td>Unknown</td><td>The metric was evaluated, but the result cannot be determined from the available data. An engine failure is reported through MeasureReport.status, not with this code; missing evidence for a refinement alone does not erase an established broader result.</td></tr></table></div>"
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"version" : "3.0.0-ballot",
"name" : "CPGMetricResultCS",
"title" : "CPG Metric Result Code System",
"status" : "active",
"experimental" : false,
"date" : "2026-11-10T08:06:13+00:00",
"publisher" : "HL7 International / Clinical Decision Support",
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"description" : "The result of evaluating a compliance or adherence metric for a patient. Codes are organized in an is-a hierarchy, so a query for a parent code also returns its children. One code is reported per evaluation.",
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"content" : "complete",
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"concept" : [
{
"code" : "compliant",
"display" : "Compliant",
"definition" : "The care delivered conforms to the scoped recommendation: the proposed activity was fulfilled by a corresponding request and/or event as specified, including any timing constraints, or, for a recommendation against an activity, the activity was not performed.",
"concept" : [
{
"code" : "compliant-with-prior-non-compliance",
"display" : "Compliant with Prior Non-Compliance",
"definition" : "Compliant, with at least one prior evaluation of the same metric for the same patient non-compliant within the metric's declared lookback."
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]
},
{
"code" : "non-compliant",
"display" : "Non-Compliant",
"definition" : "The care delivered does not conform to the scoped recommendation and no accepted exemption applies: the proposed activity was not fulfilled, was fulfilled outside the specified time window, or, for a recommendation against an activity, the activity was performed."
},
{
"code" : "at-risk-for-non-compliance",
"display" : "At Risk for Non-Compliance",
"definition" : "Not determined to be non-compliant, but the metric's declared predictive criterion indicates that non-compliance is likely within a declared horizon without intervention."
},
{
"code" : "adherent",
"display" : "Adherent",
"definition" : "The scoped strategy's acceptance criteria are met. By default, when the metric declares no other criteria, every effective requirement (each applicable, non-exempted component) is met.",
"concept" : [
{
"code" : "adherent-with-prior-non-adherence",
"display" : "Adherent with Prior Non-Adherence",
"definition" : "Adherent, with at least one prior evaluation of the same metric for the same patient partially adherent or non-adherent within the metric's declared lookback."
}
]
},
{
"code" : "partially-adherent",
"display" : "Partially Adherent",
"definition" : "The scoped strategy's acceptance criteria are not met, but its intermediate-attainment criteria are. By default, at least one effective requirement is met and at least one has failed."
},
{
"code" : "non-adherent",
"display" : "Non-Adherent",
"definition" : "Neither the acceptance nor the intermediate-attainment criteria of the scoped strategy are met. By default, every effective requirement has failed; under authored criteria this can occur despite some fulfilled components, for example when a critical component has failed."
},
{
"code" : "at-risk-for-non-adherence",
"display" : "At Risk for Non-Adherence",
"definition" : "Not determined to be non-adherent, but the metric's declared predictive criterion indicates that non-adherence is likely within a declared horizon without intervention."
},
{
"code" : "pending",
"display" : "Pending",
"definition" : "The scoped element applies and its fulfillment window remains open; the expectation has not yet been met, has not yet failed, and no result is yet forced. A pending result is not final."
},
{
"code" : "on-hold",
"display" : "On Hold",
"definition" : "An authorized, currently effective temporary suspension of the scoped element's expectations under the metric's policy, while the element still applies and is not exempted. Makes no claim of success or failure; the last established result is retained as history and the metric is re-evaluated on resumption. A workflow hold (for example a CPGHoldTask or an on-hold request) is evidence of suspension only where the metric's policy accepts it."
},
{
"code" : "exempted",
"display" : "Exempted",
"definition" : "The scoped recommendation or strategy applies to the patient, but an exemption accepted by the metric's policy (e.g., contraindication, clinical judgment, or a patient refusal where the policy accepts it) removes the expectation. An exemption accepted by one strategy does not by itself exempt the same component in another."
},
{
"code" : "not-applicable",
"display" : "Not Applicable",
"definition" : "The scoped recommendation or strategy does not apply to the patient (e.g., its applicability criteria are not met), so no compliance or adherence expectation exists. A component that does not apply does not by itself make its parent not applicable."
},
{
"code" : "not-yet-evaluated",
"display" : "Not Yet Evaluated",
"definition" : "An explicit assertion that the metric, though defined for the patient's case, has not yet been evaluated. The absence of a result does not imply this code."
},
{
"code" : "unknown",
"display" : "Unknown",
"definition" : "The metric was evaluated, but the result cannot be determined from the available data. An engine failure is reported through MeasureReport.status, not with this code; missing evidence for a refinement alone does not erase an established broader result."
}
]
}
IG © 2023+ HL7 International / Clinical Decision Support.
Package hl7.fhir.uv.cpg#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-11-10
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