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" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cpg-adherence-result-vs</b></p><a name=\"cpg-adherence-result-vs\"> </a><a name=\"hccpg-adherence-result-vs\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-cpg-metric-result-cs.html\"><code>http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs</code></a><span title=\"Version is not explicitly stated, which means it is fixed to the version provided in this specification\"> version 📦3.0.0-ballot</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-adherent\">adherent</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-adherent-with-prior-non-adherence\">adherent-with-prior-non-adherence</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-partially-adherent\">partially-adherent</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-non-adherent\">non-adherent</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-at-risk-for-non-adherence\">at-risk-for-non-adherence</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-pending\">pending</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-on-hold\">on-hold</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-exempted\">exempted</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-not-applicable\">not-applicable</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-not-yet-evaluated\">not-yet-evaluated</a></td><td style=\"color: #cccccc\">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><a href=\"CodeSystem-cpg-metric-result-cs.html#cpg-metric-result-cs-unknown\">unknown</a></td><td style=\"color: #cccccc\">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></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
"valueCode" : "publishable"
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{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
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],
"url" : "http://hl7.org/fhir/uv/cpg/ValueSet/cpg-adherence-result-vs",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.48.48.10"
}
],
"version" : "3.0.0-ballot",
"name" : "CPGAdherenceResultVS",
"title" : "CPG Adherence Result Value Set",
"status" : "active",
"experimental" : false,
"date" : "2026-11-10T08:06:13+00:00",
"publisher" : "HL7 International / Clinical Decision Support",
"contact" : [
{
"name" : "HL7 International / Clinical Decision Support",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/dss"
}
]
}
],
"description" : "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.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs",
"concept" : [
{
"code" : "adherent"
},
{
"code" : "adherent-with-prior-non-adherence"
},
{
"code" : "partially-adherent"
},
{
"code" : "non-adherent"
},
{
"code" : "at-risk-for-non-adherence"
},
{
"code" : "pending"
},
{
"code" : "on-hold"
},
{
"code" : "exempted"
},
{
"code" : "not-applicable"
},
{
"code" : "not-yet-evaluated"
},
{
"code" : "unknown"
}
]
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]
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}