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 Measure Type Code System

Active as of 2026-11-10

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="cpg-measure-type-cs"/>
  <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-measure-type-cs</b></p><a name="cpg-measure-type-cs"> </a><a name="hccpg-measure-type-cs"> </a><p><b>Properties</b></p><p><b>This code system defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Name</b></td><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>measure-type</td><td>measure-type</td><td>http://terminology.hl7.org/CodeSystem/measure-type</td><td>Coding</td><td>The base measure type that this measure type specializes</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-measure-type-cs</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>measure-type</b></td></tr><tr><td style="white-space:nowrap">compliance<a name="cpg-measure-type-cs-compliance"> </a></td><td>Compliance</td><td>A process metric that evaluates whether the care delivered to a patient conforms to an individual guideline recommendation — typically whether the activity proposed by a CPGProposal was fulfilled by a corresponding request and/or event and, where specified, within the required time relative to the proposal or to an anchoring case feature. A compliance metric is scoped to a single CPGRecommendation (or a goal it supports) and evaluates the care process, not patient behavior.</td><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-measure-type.html" title="{http://terminology.hl7.org/CodeSystem/measure-type process}">Process</a></td></tr><tr><td style="white-space:nowrap">adherence<a name="cpg-measure-type-cs-adherence"> </a></td><td>Adherence</td><td>A composite metric that evaluates where a patient is with respect to a CPGStrategy or CPGPathway as a whole, typically by rolling up the compliance and/or intermediate-outcome metrics scoped to the recommendations within that strategy or pathway, using logic defined by the guideline development group or the local implementation. Pathway adherence (colloquially 'on path' or 'off path') is a special case.</td><td/></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="shareable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="computable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="publishable"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cds"/>
  </extension>
  <url value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-measure-type-cs"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.48.16.10"/>
  </identifier>
  <version value="3.0.0-ballot"/>
  <name value="CPGMeasureTypeCS"/>
  <title value="CPG Measure Type 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"/>
    </telecom>
  </contact>
  <description
               value="Additional measure types for metrics defined as part of a computable clinical practice guideline. Where a code specializes one of the base measure types, the measure-type property identifies it."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="2"/>
  <property>
    <code value="measure-type"/>
    <uri value="http://terminology.hl7.org/CodeSystem/measure-type"/>
    <description
                 value="The base measure type that this measure type specializes"/>
    <type value="Coding"/>
  </property>
  <concept>
    <code value="compliance"/>
    <display value="Compliance"/>
    <definition
                value="A process metric that evaluates whether the care delivered to a patient conforms to an individual guideline recommendation — typically whether the activity proposed by a CPGProposal was fulfilled by a corresponding request and/or event and, where specified, within the required time relative to the proposal or to an anchoring case feature. A compliance metric is scoped to a single CPGRecommendation (or a goal it supports) and evaluates the care process, not patient behavior."/>
    <property>
      <code value="measure-type"/>
      <valueCoding>
        <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
        <code value="process"/>
      </valueCoding>
    </property>
  </concept>
  <concept>
    <code value="adherence"/>
    <display value="Adherence"/>
    <definition
                value="A composite metric that evaluates where a patient is with respect to a CPGStrategy or CPGPathway as a whole, typically by rolling up the compliance and/or intermediate-outcome metrics scoped to the recommendations within that strategy or pathway, using logic defined by the guideline development group or the local implementation. Pathway adherence (colloquially 'on path' or 'off path') is a special case."/>
  </concept>
</CodeSystem>