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

: CPG Adherence Result Value Set

Active as of 2026-11-10

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/cpg-adherence-result-vs> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "cpg-adherence-result-vs"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability" ] ;
     fhir:Extension.valueCode [ fhir:value "shareable" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability" ] ;
     fhir:Extension.valueCode [ fhir:value "computable" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability" ] ;
     fhir:Extension.valueCode [ fhir:value "publishable" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "cds" ]
  ] ;
  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/cpg/ValueSet/cpg-adherence-result-vs"] ;
  fhir:ValueSet.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.48.48.10" ]
  ] ;
  fhir:ValueSet.version [ fhir:value "3.0.0-ballot"] ;
  fhir:ValueSet.name [ fhir:value "CPGAdherenceResultVS"] ;
  fhir:ValueSet.title [ fhir:value "CPG Adherence Result Value Set"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-11-10T08:06:13+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "HL7 International / Clinical Decision Support"] ;
  fhir:ValueSet.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / Clinical Decision Support" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/dss" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "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."] ;
  fhir:ValueSet.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ] ;
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index -1 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "adherent" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "adherent-with-prior-non-adherence" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "partially-adherent" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "non-adherent" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "at-risk-for-non-adherence" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "pending" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "on-hold" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "exempted" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "not-applicable" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "not-yet-evaluated" ]
       ], [
         fhir:index -1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "unknown" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/cpg-adherence-result-vs.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/cpg-adherence-result-vs.ttl> .