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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<language value="en"/>
<text>
<status value="generated"/>
<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"> compliant-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"> adherent-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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<value value="urn:oid:2.16.840.1.113883.4.642.40.48.16.11"/>
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<version value="3.0.0-ballot"/>
<name value="CPGMetricResultCS"/>
<title value="CPG Metric Result Code System"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-11-10T08:06:13+00:00"/>
<publisher value="HL7 International / Clinical Decision Support"/>
<contact>
<name value="HL7 International / Clinical Decision Support"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss"/>
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<description
value="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."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
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<hierarchyMeaning value="is-a"/>
<content value="complete"/>
<count value="15"/>
<concept>
<code value="compliant"/>
<display value="Compliant"/>
<definition
value="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 value="compliant-with-prior-non-compliance"/>
<display value="Compliant with Prior Non-Compliance"/>
<definition
value="Compliant, with at least one prior evaluation of the same metric for the same patient non-compliant within the metric's declared lookback."/>
</concept>
</concept>
<concept>
<code value="non-compliant"/>
<display value="Non-Compliant"/>
<definition
value="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."/>
</concept>
<concept>
<code value="at-risk-for-non-compliance"/>
<display value="At Risk for Non-Compliance"/>
<definition
value="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."/>
</concept>
<concept>
<code value="adherent"/>
<display value="Adherent"/>
<definition
value="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 value="adherent-with-prior-non-adherence"/>
<display value="Adherent with Prior Non-Adherence"/>
<definition
value="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."/>
</concept>
</concept>
<concept>
<code value="partially-adherent"/>
<display value="Partially Adherent"/>
<definition
value="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."/>
</concept>
<concept>
<code value="non-adherent"/>
<display value="Non-Adherent"/>
<definition
value="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."/>
</concept>
<concept>
<code value="at-risk-for-non-adherence"/>
<display value="At Risk for Non-Adherence"/>
<definition
value="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."/>
</concept>
<concept>
<code value="pending"/>
<display value="Pending"/>
<definition
value="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."/>
</concept>
<concept>
<code value="on-hold"/>
<display value="On Hold"/>
<definition
value="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."/>
</concept>
<concept>
<code value="exempted"/>
<display value="Exempted"/>
<definition
value="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."/>
</concept>
<concept>
<code value="not-applicable"/>
<display value="Not Applicable"/>
<definition
value="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."/>
</concept>
<concept>
<code value="not-yet-evaluated"/>
<display value="Not Yet Evaluated"/>
<definition
value="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."/>
</concept>
<concept>
<code value="unknown"/>
<display value="Unknown"/>
<definition
value="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."/>
</concept>
</CodeSystem>
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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