CodeSystem Comparison between http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes vs http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes

Messages

Metadata

Name	Value		Comments
caseSensitive	true
compositional
content	complete
copyright
date	2025-12-15T23:02:48+11:00	2026-10-22T15:56:14+00:00	Values Differ
description	Codes representing reasons why a Patient Care Clinical Decision Support (PC CDS) recommendation may not be followed, categorized by the source of the barrier. The concepts here were originally defined in the AHRQ CDSiC publication [Approaches to Standardizing Override Reasons for Patient-Centered Clinical Decision Support](https://digital.ahrq.gov/sites/default/files/508_SRF%20Level%202%20Override%20Taxonomy%20Implementation%208.28.25.pdf). Notes: "Recipient" means the individual who received the PC CDS, which could be a clinician for clinician-facing PC CDS, or a patient or caregiver for patient-facing PC CDS. "Recommended action" refers to the action suggested by the PC CDS. "Intended action" refers to the course of action that the PC CDS recipient (clinician, patient, or caregiver) meant to take, and which triggered the PC CDS. *The category "Patient refuses/declines (no context given)" is included to acknowledge that override reasons that document patient refusal without providing more information are common in current CDS tools. However, this category is separated from the main taxonomy to indicate that it is not a preferred option; in the future, it would be ideal if PC CDS tools provided more specific patient override reasons.
experimental	false
hierarchyMeaning	grouped-by
jurisdiction
jurisdiction / jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001
name	NonAdherenceReasonCodes
publisher	Clinical Decision Support WG	HL7 International / Clinical Decision Support	Values Differ
purpose
status	active
title	Non-Adherence Reason Codes
url	http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes
version	3.0.0-ballot	3.0.0	Values Differ
versionNeeded

Concepts

Code	Display		Comments
cds-not-applicable	PC CDS does not apply to patient
cds-suboptimal-context	PC CDS delivered in suboptimal context
recipient-disagrees-evidence	Recipient disagrees with recommendation because of issues with the evidence
recipient-concerns-outcomes	Recipient has concerns regarding potential health outcomes
does-not-align-preferences	Recommendation does not align with patient preferences or values
not-convenient-feasible	Recommendation is not convenient or feasible