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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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="cpg-adherence-result-vs"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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 &#x1F4E6;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>
  </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/ValueSet/cpg-adherence-result-vs"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.48.48.10"/>
  </identifier>
  <version value="3.0.0-ballot"/>
  <name value="CPGAdherenceResultVS"/>
  <title value="CPG Adherence Result Value Set"/>
  <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="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/uv/cpg/CodeSystem/cpg-metric-result-cs"/>
      <concept>
        <code value="adherent"/>
      </concept>
      <concept>
        <code value="adherent-with-prior-non-adherence"/>
      </concept>
      <concept>
        <code value="partially-adherent"/>
      </concept>
      <concept>
        <code value="non-adherent"/>
      </concept>
      <concept>
        <code value="at-risk-for-non-adherence"/>
      </concept>
      <concept>
        <code value="pending"/>
      </concept>
      <concept>
        <code value="on-hold"/>
      </concept>
      <concept>
        <code value="exempted"/>
      </concept>
      <concept>
        <code value="not-applicable"/>
      </concept>
      <concept>
        <code value="not-yet-evaluated"/>
      </concept>
      <concept>
        <code value="unknown"/>
      </concept>
    </include>
  </compose>
</ValueSet>