CDS Hooks
3.0.0-ballot - R3 Normative Ballot
CDS Hooks, published by Clinical Decision Support WG. 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/cds-hooks/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 1 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="non-adherence-reason-category"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet non-adherence-reason-category</b></p><a name="non-adherence-reason-category"> </a><a name="hcnon-adherence-reason-category"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-non-adherence-reason-codes.html"><code>http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes</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-non-adherence-reason-codes.html#non-adherence-reason-codes-cds-not-applicable">cds-not-applicable</a></td><td style="color: #cccccc">PC CDS does not apply to patient</td><td>The CDS recommendation is irrelevant, completed, or the patient does not meet the criteria.</td></tr><tr><td><a href="CodeSystem-non-adherence-reason-codes.html#non-adherence-reason-codes-cds-suboptimal-context">cds-suboptimal-context</a></td><td style="color: #cccccc">PC CDS delivered in suboptimal context</td><td>The CDS was delivered at a time or to a recipient that made the action impossible or impractical to address.</td></tr><tr><td><a href="CodeSystem-non-adherence-reason-codes.html#non-adherence-reason-codes-recipient-disagrees-evidence">recipient-disagrees-evidence</a></td><td style="color: #cccccc">Recipient disagrees with recommendation because of issues with the evidence</td><td>The recipient (clinician or patient) has an objection based on the supporting evidence or conflicting advice/policy.</td></tr><tr><td><a href="CodeSystem-non-adherence-reason-codes.html#non-adherence-reason-codes-recipient-concerns-outcomes">recipient-concerns-outcomes</a></td><td style="color: #cccccc">Recipient has concerns regarding potential health outcomes</td><td>Concerns about the action's risk/benefit ratio, potential negative outcomes, or contraindications.</td></tr><tr><td><a href="CodeSystem-non-adherence-reason-codes.html#non-adherence-reason-codes-does-not-align-preferences">does-not-align-preferences</a></td><td style="color: #cccccc">Recommendation does not align with patient preferences or values</td><td>The action conflicts with the patient's personal, cultural, or religious beliefs, or they prefer an alternative.</td></tr><tr><td><a href="CodeSystem-non-adherence-reason-codes.html#non-adherence-reason-codes-not-convenient-feasible">not-convenient-feasible</a></td><td style="color: #cccccc">Recommendation is not convenient or feasible</td><td>Practical barriers related to cost, logistics, technology, or patient capability prevent the action.</td></tr></table></li></ul></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cds"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<url
value="http://terminology.hl7.org/ValueSet/non-adherence-reason-category"/>
<version value="3.0.0-ballot"/>
<name value="NonAdherenceReasonCategory"/>
<title value="Non-Adherence Reason Categories ValueSet"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-12-14T21:46:53+00:00"/>
<publisher value="Clinical Decision Support WG"/>
<contact>
<name value="Clinical Decision Support WG"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/dss/index.cfm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="cds@lists.HL7.org"/>
</telecom>
</contact>
<description
value="A set of codes capturing the six high-level categories for why a PC CDS recommendation may not be followed."/>
<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://terminology.hl7.org/CodeSystem/non-adherence-reason-codes"/>
<concept>
<code value="cds-not-applicable"/>
</concept>
<concept>
<code value="cds-suboptimal-context"/>
</concept>
<concept>
<code value="recipient-disagrees-evidence"/>
</concept>
<concept>
<code value="recipient-concerns-outcomes"/>
</concept>
<concept>
<code value="does-not-align-preferences"/>
</concept>
<concept>
<code value="not-convenient-feasible"/>
</concept>
</include>
</compose>
</ValueSet>