Intersection of http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes and http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes

This is the CodeSystem that contains codes in both Non-Adherence Reason Codes (http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes) and Non-Adherence Reason Codes (http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes).

Structure

Generated Narrative: CodeSystem 8654203c-bbd9-4bca-9ef0-bbb189bbfa27-3

This code system http://hl7.org/fhir/comparison/CodeSystem/8654203c-bbd9-4bca-9ef0-bbb189bbfa27-3 defines codes in an undefined hierarchy, but no codes are represented here

LvlCodeDisplayDefinition
1cds-not-applicable PC CDS does not apply to patientThe CDS recommendation is irrelevant, completed, or the patient does not meet the criteria.
2  patient-ineligible Patient does not meet eligibility for recommended actionThe patient does not satisfy the criteria (e.g., age, condition, lab result) for the recommended action.
2  indication-order-exists Patient has indication/order for intended actionThe recommended action is already indicated or ordered in the patient's record, making the CDS redundant.
2  action-completed Recommended action was already completedThe action or procedure recommended by the CDS has already been performed.
2  action-unsuccessful Recommended action was previously unsuccessfulThe recommended action was attempted before and failed to achieve the desired outcome.
2  action-performed-no-adverse-effect Intended action was performed previously without adverse effectA previously performed action that was the subject of the CDS did not cause harm, suggesting the action is safe despite the CDS warning.
2  action-not-priority Recommended action is not relevant or a priority in current state of healthThe patient's acute or chronic conditions require more immediate attention than the action recommended by the CDS.
2  patient-ineligible Patient does not meet eligibility for recommended actionThe patient does not satisfy the criteria (e.g., age, condition, lab result) for the recommended action.
2  indication-order-exists Patient has indication/order for intended actionThe recommended action is already indicated or ordered in the patient's record, making the CDS redundant.
2  action-completed Recommended action was already completedThe action or procedure recommended by the CDS has already been performed.
2  action-unsuccessful Recommended action was previously unsuccessfulThe recommended action was attempted before and failed to achieve the desired outcome.
2  action-performed-no-adverse-effect Intended action was performed previously without adverse effectA previously performed action that was the subject of the CDS did not cause harm, suggesting the action is safe despite the CDS warning.
2  action-not-priority Recommended action is not relevant or a priority in current state of healthThe patient's acute or chronic conditions require more immediate attention than the action recommended by the CDS.
1cds-suboptimal-context PC CDS delivered in suboptimal contextThe CDS was delivered at a time or to a recipient that made the action impossible or impractical to address.
2  limited-time Could not address recommended action due to limited timeThe recipient had insufficient time during the current patient encounter or workflow step to act on the recommendation.
2  wrong-time-workflow PC CDS delivered at wrong time in workflow or patient lifecycleThe alert appeared at a point in the workflow or patient's care journey where it could not be practically acted upon.
2  inappropriate-recipient PC CDS delivered to inappropriate recipient/roleThe person receiving the recommendation (e.g., a nurse, clerk) is not authorized or responsible for performing the action.
2  need-more-info Could not address recommended action due to need for more information/pending results/pending consultThe recipient requires additional data (e.g., a lab result, imaging) or a specialist's opinion before the action can be safely or definitively taken.
2  limited-time Could not address recommended action due to limited timeThe recipient had insufficient time during the current patient encounter or workflow step to act on the recommendation.
2  wrong-time-workflow PC CDS delivered at wrong time in workflow or patient lifecycleThe alert appeared at a point in the workflow or patient's care journey where it could not be practically acted upon.
2  inappropriate-recipient PC CDS delivered to inappropriate recipient/roleThe person receiving the recommendation (e.g., a nurse, clerk) is not authorized or responsible for performing the action.
2  need-more-info Could not address recommended action due to need for more information/pending results/pending consultThe recipient requires additional data (e.g., a lab result, imaging) or a specialist's opinion before the action can be safely or definitively taken.
1recipient-disagrees-evidence Recipient disagrees with recommendation because of issues with the evidenceThe recipient (clinician or patient) has an objection based on the supporting evidence or conflicting advice/policy.
2  does-not-align-latest-evidence Recommended action does not align with the latest evidenceThe recipient believes the CDS rule is outdated compared to current medical literature or best practices.
2  expert-contradicts Advice from expert contradicts the recommended actionGuidance received from a specialist or recognized authority conflicts with the CDS recommendation.
2  policy-contradicts Institutional policy/guideline contradicts the recommended actionThe recommendation conflicts with the official procedures, policies, or local guidelines of the healthcare facility.
2  recipient-does-not-trust Recipient does not agree with or trust the recommended actionThe recipient fundamentally disbelieves the validity or necessity of the CDS action.
2  does-not-align-latest-evidence Recommended action does not align with the latest evidenceThe recipient believes the CDS rule is outdated compared to current medical literature or best practices.
2  expert-contradicts Advice from expert contradicts the recommended actionGuidance received from a specialist or recognized authority conflicts with the CDS recommendation.
2  policy-contradicts Institutional policy/guideline contradicts the recommended actionThe recommendation conflicts with the official procedures, policies, or local guidelines of the healthcare facility.
2  recipient-does-not-trust Recipient does not agree with or trust the recommended actionThe recipient fundamentally disbelieves the validity or necessity of the CDS action.
1recipient-concerns-outcomes Recipient has concerns regarding potential health outcomesConcerns about the action's risk/benefit ratio, potential negative outcomes, or contraindications.
2  risk-benefit-ratio Recipient assessment of risk/benefit ratioThe recipient determines that the potential risks of the action outweigh the anticipated benefits for this specific patient.
2  mitigate-risk-negative-outcome Action taken to mitigate risk of negative outcomeThe recommended action was superseded by an alternative measure taken to specifically avoid a known potential adverse event.
2  likely-negative-health-outcomes Recommended action likely to have negative health outcomesThe recipient believes the action, if taken, would predictably lead to an adverse patient outcome (e.g., severe side effect).
2  patient-contraindication Patient has contraindication to recommended actionA patient factor (e.g., allergy, existing condition, previous reaction) explicitly rules out the recommended action.
2  risk-benefit-ratio Recipient assessment of risk/benefit ratioThe recipient determines that the potential risks of the action outweigh the anticipated benefits for this specific patient.
2  mitigate-risk-negative-outcome Action taken to mitigate risk of negative outcomeThe recommended action was superseded by an alternative measure taken to specifically avoid a known potential adverse event.
2  likely-negative-health-outcomes Recommended action likely to have negative health outcomesThe recipient believes the action, if taken, would predictably lead to an adverse patient outcome (e.g., severe side effect).
2  patient-contraindication Patient has contraindication to recommended actionA patient factor (e.g., allergy, existing condition, previous reaction) explicitly rules out the recommended action.
1does-not-align-preferences Recommendation does not align with patient preferences or valuesThe action conflicts with the patient's personal, cultural, or religious beliefs, or they prefer an alternative.
2  patient-fears-discomfort Patient fears discomfort from complying with recommended actionThe patient is unwilling to proceed due to anticipated pain, anxiety, or general discomfort associated with the action.
2  patient-does-not-want-change Patient does not want to change behavior or believes the change is unnecessaryThe patient lacks motivation for lifestyle change or disagrees with the premise that a change is needed for their health.
2  cultural-religious-reason Patient has a cultural or religious reason for not following recommended actionThe patient's deeply held cultural or religious beliefs prohibit them from accepting the recommendation (e.g., blood transfusions).
2  prefers-alternative Patient prefers an alternative approach or treatmentThe patient wishes to pursue a different, non-recommended treatment or approach (e.g., holistic medicine).
2  patient-refuses Patient refuses/declines (no context given)*The patient has simply refused the recommendation without providing an explicit, detailed reason.
2  patient-fears-discomfort Patient fears discomfort from complying with recommended actionThe patient is unwilling to proceed due to anticipated pain, anxiety, or general discomfort associated with the action.
2  patient-does-not-want-change Patient does not want to change behavior or believes the change is unnecessaryThe patient lacks motivation for lifestyle change or disagrees with the premise that a change is needed for their health.
2  cultural-religious-reason Patient has a cultural or religious reason for not following recommended actionThe patient's deeply held cultural or religious beliefs prohibit them from accepting the recommendation (e.g., blood transfusions).
2  prefers-alternative Patient prefers an alternative approach or treatmentThe patient wishes to pursue a different, non-recommended treatment or approach (e.g., holistic medicine).
2  patient-refuses Patient refuses/declines (no context given)*The patient has simply refused the recommendation without providing an explicit, detailed reason.
1not-convenient-feasible Recommendation is not convenient or feasiblePractical barriers related to cost, logistics, technology, or patient capability prevent the action.
2  inadequate-support Patient has inadequate caregiver/social supportThe patient lacks the necessary assistance from family or caregivers to comply with the action.
2  service-not-available Treatment or service is not practically availableThe required service, medication, or equipment is not accessible, either geographically or logistically.
2  implementation-challenges Recommended action cannot be implemented due to technology/challengesTechnical issues, system downtime, or complexity of the EHR/device prevent the action from being recorded or performed.
2  too-costly-uncovered Recommended action is too costly or not covered by insuranceFinancial burden is a barrier, either due to the cost of the service or lack of insurance coverage.
2  recipient-does-not-understand Recipient does not understand the recommended action or know how to perform the recommended actionThe recipient (patient or clinician) lacks the necessary health literacy or procedural knowledge to execute the action.
2  comorbidity-disability Patient has co-morbidity or disability that hinders them from completing recommended actionAn unrelated or co-existing physical/mental condition (e.g., severe arthritis, dementia) makes the action impossible for the patient.
2  inadequate-support Patient has inadequate caregiver/social supportThe patient lacks the necessary assistance from family or caregivers to comply with the action.
2  service-not-available Treatment or service is not practically availableThe required service, medication, or equipment is not accessible, either geographically or logistically.
2  implementation-challenges Recommended action cannot be implemented due to technology/challengesTechnical issues, system downtime, or complexity of the EHR/device prevent the action from being recorded or performed.
2  too-costly-uncovered Recommended action is too costly or not covered by insuranceFinancial burden is a barrier, either due to the cost of the service or lack of insurance coverage.
2  recipient-does-not-understand Recipient does not understand the recommended action or know how to perform the recommended actionThe recipient (patient or clinician) lacks the necessary health literacy or procedural knowledge to execute the action.
2  comorbidity-disability Patient has co-morbidity or disability that hinders them from completing recommended actionAn unrelated or co-existing physical/mental condition (e.g., severe arthritis, dementia) makes the action impossible for the patient.