{
  "resourceType" : "ValueSet",
  "id" : "non-adherence-reason-category",
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<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 &#x1F4E6;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>"
  },
  "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-category",
  "version" : "3.0.0-ballot",
  "name" : "NonAdherenceReasonCategory",
  "title" : "Non-Adherence Reason Categories ValueSet",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-12-15T23:02:48+11:00",
  "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 codes capturing the six high-level categories for why a PC CDS recommendation may not be followed.",
  "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"
      }]
    }]
  }
}