Clinical Practice Guidelines
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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

ValueSet: CPG Adherence Result Value Set

Official URL: http://hl7.org/fhir/uv/cpg/ValueSet/cpg-adherence-result-vs Version: 3.0.0-ballot
Active as of 2026-11-10 Computable Name: CPGAdherenceResultVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.48.48.10

The result of evaluating an adherence metric scoped to a strategy. This is the default result value set for an adherence metric scoped to a CPGStrategy. Includes the operational states shared with the CPG Compliance Result value set.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs version 📦3.0.0-ballot
    CodeDisplayDefinition
    adherentAdherentThe 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.
    adherent-with-prior-non-adherenceAdherent with Prior Non-AdherenceAdherent, 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.
    partially-adherentPartially AdherentThe 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.
    non-adherentNon-AdherentNeither 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.
    at-risk-for-non-adherenceAt Risk for Non-AdherenceNot determined to be non-adherent, but the metric's declared predictive criterion indicates that non-adherence is likely within a declared horizon without intervention.
    pendingPendingThe 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.
    on-holdOn HoldAn 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.
    exemptedExemptedThe 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.
    not-applicableNot ApplicableThe 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.
    not-yet-evaluatedNot Yet EvaluatedAn 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.
    unknownUnknownThe 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.

 

Expansion

Expansion performed internally based on codesystem CPG Metric Result Code System v3.0.0-ballot (CodeSystem)

This value set contains 11 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  adherentAdherentThe 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  adherent-with-prior-non-adherenceAdherent with Prior Non-AdherenceAdherent, 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  partially-adherentPartially AdherentThe 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  non-adherentNon-AdherentNeither 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  at-risk-for-non-adherenceAt Risk for Non-AdherenceNot determined to be non-adherent, but the metric's declared predictive criterion indicates that non-adherence is likely within a declared horizon without intervention.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  pendingPendingThe 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  on-holdOn HoldAn 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  exemptedExemptedThe 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  not-applicableNot ApplicableThe 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  not-yet-evaluatedNot Yet EvaluatedAn 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.
http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs  unknownUnknownThe 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.

Description of the above table(s).