FHIRsmith: ValueSet/ValueSet-non-adherence-reason-clinical.json

FHIR IG analytics

Package	hl7.fhir.uv.cds-hooks
Resource Type	ValueSet
Id	ValueSet-non-adherence-reason-clinical.json
FHIR Version	R4
Source	https://build.fhir.org/ig/HL7/cds-hooks/ValueSet-non-adherence-reason-clinical.html
URL	http://terminology.hl7.org/ValueSet/non-adherence-reason-clinical
Version	3.0.0-ballot
Status	active
Date	2025-12-14T21:46:53+00:00
Name	NonAdherenceReasonClinical
Title	Non-Adherence Reason Clinical Selection
Realm	uv
Authority	hl7
Description	A set of common and clinically relevant reasons for non-adherence, including all categories and key specific sub-codes for point-of-care selection.

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
non-adherence-reason-codes	Non-Adherence Reason Codes

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet non-adherence-reason-clinical

Include these codes as defined in http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes version 📦3.0.0-ballot

Code	Display	Definition
cds-not-applicable	PC CDS does not apply to patient	The CDS recommendation is irrelevant, completed, or the patient does not meet the criteria.
cds-suboptimal-context	PC CDS delivered in suboptimal context	The CDS was delivered at a time or to a recipient that made the action impossible or impractical to address.
recipient-disagrees-evidence	Recipient disagrees with recommendation because of issues with the evidence	The recipient (clinician or patient) has an objection based on the supporting evidence or conflicting advice/policy.
recipient-concerns-outcomes	Recipient has concerns regarding potential health outcomes	Concerns about the action's risk/benefit ratio, potential negative outcomes, or contraindications.
does-not-align-preferences	Recommendation does not align with patient preferences or values	The action conflicts with the patient's personal, cultural, or religious beliefs, or they prefer an alternative.
not-convenient-feasible	Recommendation is not convenient or feasible	Practical barriers related to cost, logistics, technology, or patient capability prevent the action.
action-completed	Recommended action was already completed	The action or procedure recommended by the CDS has already been performed.
patient-contraindication	Patient has contraindication to recommended action	A patient factor (e.g., allergy, existing condition, previous reaction) explicitly rules out the recommended action.
patient-refuses	Patient refuses/declines (no context given)*	The patient has simply refused the recommendation without providing an explicit, detailed reason.
too-costly-uncovered	Recommended action is too costly or not covered by insurance	Financial burden is a barrier, either due to the cost of the service or lack of insurance coverage.
service-not-available	Treatment or service is not practically available	The required service, medication, or equipment is not accessible, either geographically or logistically.
recipient-does-not-understand	Recipient does not understand the recommended action or know how to perform the recommended action	The recipient (patient or clinician) lacks the necessary health literacy or procedural knowledge to execute the action.

Source1

{
  "resourceType": "ValueSet",
  "id": "non-adherence-reason-clinical",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cds"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://terminology.hl7.org/ValueSet/non-adherence-reason-clinical",
  "version": "3.0.0-ballot",
  "name": "NonAdherenceReasonClinical",
  "title": "Non-Adherence Reason Clinical Selection",
  "status": "active",
  "experimental": false,
  "date": "2025-12-14T21:46:53+00:00",
  "publisher": "Clinical Decision Support WG",
  "contact": [
    {
      "name": "Clinical Decision Support WG",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/dss/index.cfm"
        },
        {
          "system": "email",
          "value": "cds@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "A set of common and clinically relevant reasons for non-adherence, including all categories and key specific sub-codes for point-of-care selection.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/non-adherence-reason-codes",
        "concept": [
          {
            "code": "cds-not-applicable"
          },
          {
            "code": "cds-suboptimal-context"
          },
          {
            "code": "recipient-disagrees-evidence"
          },
          {
            "code": "recipient-concerns-outcomes"
          },
          {
            "code": "does-not-align-preferences"
          },
          {
            "code": "not-convenient-feasible"
          },
          {
            "code": "action-completed"
          },
          {
            "code": "patient-contraindication"
          },
          {
            "code": "patient-refuses"
          },
          {
            "code": "too-costly-uncovered"
          },
          {
            "code": "service-not-available"
          },
          {
            "code": "recipient-does-not-understand"
          }
        ]
      }
    ]
  }
}