The concept of q-rung orthopair hesitant fuzzy set represents an advancement and extension of hesitant fuzzy sets, encompassing both fuzzy sets and q-rung orthopair fuzzy sets. q-rung orthopair hesitant fuzzy set characterizes a set of membership and non-membership grades within the interval [0, 1], which enhances its adaptability compared to existing methods. This flexibility proves invaluable in providing more insightful data about various objects. The primary objective of this research is to introduce a decision-making technique in the context of q-RHF using the theory of set pair analysis (SPA). q-RHFS effectively handles ambiguous data by incorporating membership and non-membership grades, while the connection number (CN) based on SPA theory manages the intricacies of uncertainty and certainty structures by relying on "identity", "discrepancy" and "contrary" grades. Building on the relationship between q-RHFS and the connection number of set pair analysis, a comprehensive framework known as q-rung hesitant fuzzy connection number set (qHCNs) is developed. This model not only addresses uncertainty, but also offers valuable insights. Furthermore, this research introduces similarity measures derived from qHCN and examines their advantages through illustrative examples. Additionally, a novel approach to decision modeling utilizing these measures applied to medical diagnosis is also introduced. The application of this established model contributes to an effective approach and demonstrated its soundness and efficiency. In addition, a detailed comparative study is conducted with the existing models and advantages of proposed model. The research concludes with a summary of the authors' findings, highlighting the consistency and effectiveness of their work.
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