Unattributed Code Systems

• http://unstats.un.org/unsd/methods/m49/m49.htm
• https://profiles.ihe.net/QRPH/CCG/CodeSystem/ccg-card-type-cs

Copyright Fragment

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Copyright and Registered Trademark Uses

• IG © 2025+ IHE QRPH Technical Committee. Package ihe.qrph.ccg#1.0.0-current based on FHIR 4.0.1. Generated 2025-07-14 Links: Table of Contents | QA Report | New Issue | Issues Version History | CC0 | Propose a changeexternal ( src )
• hl7.fhir.us.hai: Healthcare Associated Infection Implementation Guide ®© HL7 | CC0 ( src )
• Computable Care Guidelines, published by IHE QRPH Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.CCG/ and changes regularly. See the Directory of published versions ( src )
• For the purposes of this FHIR-based CCG Profile, a Guideline Engine is an actor that correctly executes the HL7™ FHIR® CPG PlanDefinition Apply operation3 as defined by the CPG-on-FHIR Implementation Guide. Guideline Engine solutions may be implemented as an add-on to a FHIR® server or the server may natively operationalize support for this operation. There are many deployment options. For example, an engine might be operationalized by a software development kit (SDK) or it might be a hosted online service operated by a Ministry of Health. As noted above, some Guideline Performer actors may be grouped with a Guideline Engine as part of a single software solution. Except for the normative behaviors noted below, the internal software processes of the Guideline Engine are out of scope for this IHE Profile. ( src )
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage * LOINC: CCG_Data_In_IPS_Composition ( src )
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html Show Usage * DoseAndRateType: ActivityExampleOrderMedicationAD * Location type: Example Location * PlanDefinitionType: CCG_Administer_Medication, CCG_CARD_Folder... Show 29 more , CCG_CARD_PlanDefinition, CCG_Collect_Information, CCG_Dispense_Medication, CCG_Order_Medication, CCG_Patient_Plans, CCG_Propose_Diagnosis, CCG_Provide_Information, CCG_Request_Immunization, CCG_Request_Service_Lab_Order, CCG_Request_Service_Procedure, CCG_Request_Service_Radiology, CCG_Request_Service_Referral, CCG_Stop_Activity_Medication_Order, CCG_Stop_Activity_Service_Order, ExampleCARDadminrx, ExampleCARDcollect, ExampleCARDdisprx, ExampleCARDorderrx, ExampleCARDpropdx, ExampleCARDprovide, ExampleCARDreqlab, ExampleCARDreqproc, ExampleCARDreqrad, ExampleCARDreqref, ExampleCARDreqvx, ExampleCARDstoprx, ExampleCARDstopsrv, ExampleCCGFolder1 and PlanDefinition/CCG-patient-plans-example * ActClass: CCG_Data_In_IPS_Composition * ActCode: Encounter/Encounter-1234567 * MaritalStatus: Patient/ZKT9319 * ParticipationType: Encounter/Encounter-1234567 * RoleCode: Example Location ( src )

External References

Type	Reference	Content
web	www.ihe.net	contact : https://www.ihe.net/ihe_domains/quality_research_and_public_health/ , qrph@ihe.net , IHE QRPH Technical Committee: qrph@ihe.net
web	example.org	http://example.org/fhir/uv/cpg/Library/stopmedication-library
web	example.org	http://example.org/fhir/uv/cpg/Library/stopservice-library
web	profiles.ihe.net	Recommend ATNA , encouraged IHE-IUA or SMART-on-FHIR
web	profiles.ihe.net	Recommend ATNA , encouraged IHE-IUA or SMART-on-FHIR
web	www.who.int	url : https://www.who.int/southeastasia/publications/i/item/who-ucn-ncd-20.1
web	www.who.int	https://www.who.int/southeastasia/publications/i/item/who-ucn-ncd-20.1
web	www.who.int	url : https://www.who.int/publications/i/item/9789240033986
web	www.who.int	https://www.who.int/publications/i/item/9789240033986
web	profiles.ihe.net
web	profiles.ihe.net
web	github.com	Computable Care Guidelines, published by IHE QRPH Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/QRPH.CCG/ and changes regularly. See the Directory of published versions
web	www.ihe.net	IG © 2025+ IHE QRPH Technical Committee . Package ihe.qrph.ccg#1.0.0-current based on FHIR 4.0.1 . Generated 2025-07-14 Links: Table of Contents | QA Report | New Issue | Issues Version History | | Propose a change
web	github.com	Links: Table of Contents | QA Report | New Issue | Issues Version History | | Propose a change
web	github.com	Links: Table of Contents | QA Report | New Issue | Issues Version History | | Propose a change
web	profiles.ihe.net	Links: Table of Contents | QA Report | New Issue | Issues Version History | | Propose a change
web	www.ihe.net	Links: Table of Contents | QA Report | New Issue | Issues Version History | | Propose a change
web	www.ihe.net	https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_DCP.pdf   ↩   ↩2
web	www.unicef.org	https://www.unicef.org/innovation/rapidpro   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/TF/Volume1/ch-7.html   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/IUA/#341-iua-actors-transactions-and-content-modules   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/mCSD/volume-1.html#1461-mcsd-actors-transactions-and-content-modules   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/PMIR/volume-1.html#1491-pmir-actors-transactions-and-content-modules   ↩
web	www.ihe.net	https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_IPS.pdf   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/sIPS/volume-1.html#actors-and-transactions   ↩
web	www.thelancet.com	https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01074-2/fulltext   ↩
web	en.wikipedia.org	https://en.wikipedia.org/wiki/Certificate_authority   ↩
web	www.hcinnovationgroup.com	https://www.hcinnovationgroup.com/interoperability-hie/fast-healthcare-interoperability-resources-fhir/news/53071423/cdc-leads-initiative-to-develop-computable-clinical-practice-guidelines   ↩
web	www.dhi-scotland.com	The successful work of the underlying HL7 CPG-on-FHIR IG has been constrained to address key implementation issues in-scope for the IHE CCG Profile. A strategy of constraining optionality has been adopted by multiple jurisdictions in their clinical decision support regulatory frameworks. As an example, the US ASTP/ONC has published guidance regarding the methods for conformance-testing digital health solutions that provide Evidence-based Decision Support Interventions (DSI). It stipulates that evidence-based DSIs shall leverage a constrained common data set defined in the US Core Data for Interoperability 10 . It can also be noted that, under this ONC regulation, a software solution provider must provide an attestation related to the source content, including bibliographic citations of the clinical research of narrative (L1) care guidelines, that inform the DSI’s recommendations. Similarly, NHS Scotland has adopted a single-hosted-service approach that constrains optionality and ensures consistency of data and logic execution. This hosted service is ISO-13485 certified to meet relevant Software as a Medical Device (SaMD) regulations. In Denmark, the adoption of a common shared health record has enabled four DSIs to be taken to national scale (see Figure 3). Research on the Danish experience has noted the importance of testability as a key element of success.
web	bmcprimcare.biomedcentral.com	The successful work of the underlying HL7 CPG-on-FHIR IG has been constrained to address key implementation issues in-scope for the IHE CCG Profile. A strategy of constraining optionality has been adopted by multiple jurisdictions in their clinical decision support regulatory frameworks. As an example, the US ASTP/ONC has published guidance regarding the methods for conformance-testing digital health solutions that provide Evidence-based Decision Support Interventions (DSI). It stipulates that evidence-based DSIs shall leverage a constrained common data set defined in the US Core Data for Interoperability 10 . It can also be noted that, under this ONC regulation, a software solution provider must provide an attestation related to the source content, including bibliographic citations of the clinical research of narrative (L1) care guidelines, that inform the DSI’s recommendations. Similarly, NHS Scotland has adopted a single-hosted-service approach that constrains optionality and ensures consistency of data and logic execution. This hosted service is ISO-13485 certified to meet relevant Software as a Medical Device (SaMD) regulations. In Denmark, the adoption of a common shared health record has enabled four DSIs to be taken to national scale (see Figure 3). Research on the Danish experience has noted the importance of testability as a key element of success.
web	ec.europa.eu	IHE’s choice of IPS as the foundation of the base common content model is intended to be risk-mitigating. It is noteworthy that many countries (Canada, Sri Lanka, Botswana, New Zealand, etc.) and many multilateral organizations (Asia eHealth Information Network 11 , OpenHIE Community 12 , etc.) have adopted or advocated for the adoption of the IPS as the basis for a national health summary specification. The joint EU-USA Trillium II project reported on the significant value of leveraging IPS across multiple CDS-supported use cases .
web	www.oecd.org	Organization of Economic Development country members: https://www.oecd.org/en/about/members-partners.html   ↩
web	datahelpdesk.worldbank.org	Low- and Middle-income Countries as defined by World Bank income stratification: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups   ↩
web	www.canada.ca	https://www.canada.ca/en/services/health/publications/diseases-conditions/prevalence-chronic-disease-risk-factors-canadians-aged-65-years-older.html   ↩
web	www.ourcommons.ca	https://www.ourcommons.ca/content/committee/421/fina/brief/br9073636/br-external/chronicdiseasepreventionallianceofcanada-e.pdf   ↩
web	www.nap.edu	National Academies of Sciences, Engineering, and Medicine. 2018. Crossing the global quality chasm: Improving health care worldwide. Washington, DC: The National Academies Press. ( https://www.nap.edu/catalog/25152/crossing-the-global-quality-chasm-improving-health-care-worldwide )  ↩
web	www.who.int	https://www.who.int/news/item/05-07-2018-low-quality-healthcare-is-increasing-the-burden-of-illness-and-health-costs-globally   ↩
web	www.asiaehealthinformationnetwork.org	https://www.asiaehealthinformationnetwork.org/   ↩
web	ohie.org	https://ohie.org/   ↩
web	www.healthdata.org	The Institute for Health Metrics and Evaluation (IHME) is a trusted research body. Country profiles related to burden of disease are regularly published, along with the supporting data related to disability-adjusted life years (DALYs). https://www.healthdata.org/research-analysis/health-by-location/profiles   ↩
web	www.who.int	https://www.who.int/news/item/23-09-2024-boosting-digital-health-can-help-prevent-millions-of-deaths-from-noncommunicable-diseases   ↩
web	iris.who.int	https://iris.who.int/bitstream/handle/10665/340724/9789240020344-eng.pdf?sequence=1   ↩
web	macgrade.mcmaster.ca	https://macgrade.mcmaster.ca/resources/gin-mcmaster-guideline-development-checklist/   ↩
web	www.authorea.com	https://www.authorea.com/users/701108/articles/687733-gin-mcmaster-guideline-development-checklist-extension-for-computable-guidelines   ↩
web	www.who.int	https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health   ↩
web	docs.npmjs.com	Node Package Manager version 10.9.0 https://docs.npmjs.com/cli/v10/commands/npm-search
web	profiles.ihe.net	https://profiles.ihe.net/ITI/TF/Volume2/ch-Z.html#z.8-mobile-security-considerations   ↩
web	docs.npmjs.com	Node Package Manager version 10.9.1 https://docs.npmjs.com/cli/v10/commands/npm-install
web	docs.npmjs.com	Node Package Manager version 10.9.1 https://docs.npmjs.com/cli/v10/commands/npm-publish
web	profiles.ihe.net	MAY digitally sign each resource in the Implementation Guide leveraging the signing methods defined by the IHE DSG specification ( https://profiles.ihe.net/ITI/DSGj/Volume3/ch-5.10.html#5.10 ) and abiding the use of Provenance resources as defined in Volume 3 of this Profile.
web	www.npmjs.com	The transaction result returned by the Guideline Repository SHALL correspond to the http-status-codes defined by NPM: https://www.npmjs.com/package/http-status-codes .
web	profiles.ihe.net	(Optionally) IHE mCSD Profile: https://profiles.ihe.net/ITI/mCSD/index.html
web	profiles.ihe.net	https://profiles.ihe.net/ITI/BALP/index.html   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/BALP/StructureDefinition-IHE.BasicAudit.PrivacyDisclosure.Source.html   ↩
web	profiles.ihe.net	https://profiles.ihe.net/ITI/BALP/StructureDefinition-IHE.BasicAudit.PatientCreate.html   ↩
web	vimeo.com	https://vimeo.com/347427025   ↩
web	stackoverflow.com	https://stackoverflow.com/questions/37579152/nested-fhir-bundles   ↩
web	www.ihe.net	https://www.ihe.net/uploadedFiles/Documents/PCC/IHE_PCC_Suppl_DCP.PlanDefinitionf   ↩
web	en.wikipedia.org	Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. HATEOAS ).
web	wiki.ihe.net	This is a metadata field from XDS/MHD .
web	github.com	The source code for this Implementation Guide can be found on the IHE CCG Profile GitHub
web	ucum.org	The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse Show Usage Unified Code for Units of Measure (UCUM) : ActivityExampleOrderMedicationAD
web	profiles.ihe.net	IHE uses the normative words: “REQUIRED”, “REQUIRED NOT”, “REQUIRED”, “SHALL”, “SHALL NOT”, “SHOULD”, “SHOULD NOT”, “RECOMMENDED”, “MAY”, and “OPTIONAL” according to standards conventions .
web	profiles.ihe.net	The use of mustSupport in StructureDefinition profiles equivalent to the IHE use of R2 as defined in Appendix Z .
web	github.com	IHE welcomes New Issues from the GitHub community. For those without GitHub access, issues may be submitted to the QRPH Public Comment form .
web	www.ihe.net	IHE welcomes New Issues from the GitHub community. For those without GitHub access, issues may be submitted to the QRPH Public Comment form .
web	github.com	As issues are submitted they will be managed on the CCG GitHub Issues , where discussion and workarounds may be found. These issues, when critical, will be processed using the normal IHE Change Proposal management and balloting. It is important to note that as soon as a Change Proposal is approved, it carries the same weight as a published Implementation Guide (i.e., it is testable at an IHE Connectathon from the time it is approved, even if it will not be integrated until several months later).
web	wiki.ihe.net	As issues are submitted they will be managed on the CCG GitHub Issues , where discussion and workarounds may be found. These issues, when critical, will be processed using the normal IHE Change Proposal management and balloting. It is important to note that as soon as a Change Proposal is approved, it carries the same weight as a published Implementation Guide (i.e., it is testable at an IHE Connectathon from the time it is approved, even if it will not be integrated until several months later).
web	www.ihe.net	As issues are submitted they will be managed on the CCG GitHub Issues , where discussion and workarounds may be found. These issues, when critical, will be processed using the normal IHE Change Proposal management and balloting. It is important to note that as soon as a Change Proposal is approved, it carries the same weight as a published Implementation Guide (i.e., it is testable at an IHE Connectathon from the time it is approved, even if it will not be integrated until several months later).
web	github.com	During the authoring process, numerous commenters voiced dissenting views regarding the approach documented in this IHE CCG Profile. These are transparently available on the IHE CCG Zulip thread and may also be found as logged GitHub Issues . This version of the IHE CCG Profile represents the views of the authoring team, which regularly met over the course of 2024. Dissenting voices (including from external parties not involved in the authoring) were heard - and in many cases influenced changes to the CCG specification - but not all arguments were found to be persuasive .
web	profiles.ihe.net	Editor, add the following new or modified actors to the IHE Technical Frameworks General Introduction Appendix A :
web	profiles.ihe.net	Editor, add the following new or modified transactions to the IHE Technical Frameworks General Introduction Appendix B :
web	profiles.ihe.net	Editor, add the following new or modified terms to the IHE Technical Frameworks General Introduction Appendix D :
web	datahelpdesk.worldbank.org	Low- and middle-income Countries as defined by the World Bank categorization ( https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups )

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