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Example CodeSystem/observation-status (JSON)

Orders and Observations Work GroupMaturity Level: N/AStandards Status: Informative

Raw JSON (canonical form + also see JSON Format Specification)

Definition for Code SystemObservationStatus

{
  "resourceType" : "CodeSystem",
  "id" : "observation-status",
  "meta" : {
    "lastUpdated" : "2024-11-15T18:37:49.495+00:00",
    "profile" : ["http://hl7.org/fhir/StructureDefinition/shareablecodesystem"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem observation-status</b></p><a name=\"observation-status\"> </a><a name=\"hcobservation-status\"> </a><a name=\"observation-status-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/observation-status</code> defines the following codes in a Is-A hierarchy:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">registered<a name=\"observation-status-registered\"> </a></td><td>Registered</td><td><div><p>The existence of the observation is registered, but there is no result yet available.</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">specimen-in-process<a name=\"observation-status-specimen-in-process\"> </a></td><td>Specimen-in-Process</td><td><div><p>The specimen being processed in the laboratory but no results are available yet.</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">preliminary<a name=\"observation-status-preliminary\"> </a></td><td>Preliminary</td><td><div><p>This is an initial or interim observation: data may be incomplete or unverified.</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">final<a name=\"observation-status-final\"> </a></td><td>Final</td><td><div><p>The observation is complete and there are no further actions needed. Additional information such &quot;released&quot;, &quot;signed&quot;, etc. would be represented using <a href=\"provenance.html\">Provenance</a> which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of <code>preliminary</code> until they are all completed and then a status of <code>final</code> would be applied. Also, this status applies for situations where there is a &quot;not-asked&quot; code for dataAbsentReason.</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">amended<a name=\"observation-status-amended\"> </a></td><td>Amended</td><td><div><p>Subsequent to being Final, the observation has been modified. This includes updates/new information and corrections.</p>\n</div></td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0corrected<a name=\"observation-status-corrected\"> </a></td><td>Corrected</td><td><div><p>Subsequent to being Final, the observation has been modified to correct an error in the original test result(s).</p>\n</div></td></tr><tr><td>2</td><td style=\"white-space:nowrap\">\u00a0\u00a0appended<a name=\"observation-status-appended\"> </a></td><td>Appended</td><td><div><p>Subsequent to being Final, the observation has been modified to include additional information, with no changes to the original test result(s).</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">cancelled<a name=\"observation-status-cancelled\"> </a></td><td>Cancelled</td><td><div><p>The observation is unavailable because the measurement was not started or not completed (also sometimes called &quot;aborted&quot;).</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">entered-in-error<a name=\"observation-status-entered-in-error\"> </a></td><td>Entered in Error</td><td><div><p>The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be &quot;cancelled&quot; rather than &quot;entered-in-error&quot;.).</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">unknown<a name=\"observation-status-unknown\"> </a></td><td>Unknown</td><td><div><p>The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for &quot;other&quot; - one of the listed statuses is presumed to apply, but the authoring/source system does not know which.</p>\n</div></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">cannot-be-obtained<a name=\"observation-status-cannot-be-obtained\"> </a></td><td>Cannot be obtained</td><td><div><p>The observation cannot be obtained.</p>\n</div></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "oo"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "normative"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 5
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
    "valueCode" : "4.0.0"
  }],
  "url" : "http://hl7.org/fhir/observation-status",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.4.401"
  },
  {
    "use" : "old",
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.1.388"
  },
  {
    "use" : "old",
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.2.219"
  }],
  "version" : "6.0.0-ballot2",
  "name" : "ObservationStatus",
  "title" : "Observation Status",
  "status" : "active",
  "experimental" : false,
  "date" : "2021-01-05T10:01:24+11:00",
  "publisher" : "HL7 (FHIR Project)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    },
    {
      "system" : "email",
      "value" : "fhir@lists.hl7.org"
    }]
  }],
  "description" : "Codes providing the status of an observation.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "concept" : [{
    "code" : "registered",
    "display" : "Registered",
    "definition" : "The existence of the observation is registered, but there is no result yet available."
  },
  {
    "code" : "specimen-in-process",
    "display" : "Specimen-in-Process",
    "definition" : "The specimen being processed in the laboratory but no results are available yet."
  },
  {
    "code" : "preliminary",
    "display" : "Preliminary",
    "definition" : "This is an initial or interim observation: data may be incomplete or unverified."
  },
  {
    "code" : "final",
    "display" : "Final",
    "definition" : "The observation is complete and there are no further actions needed. Additional information such \"released\", \"signed\", etc. would be represented using [Provenance](provenance.html) which provides not only the act but also the actors and dates and other related data. These act states would be associated with an observation status of `preliminary` until they are all completed and then a status of `final` would be applied. Also, this status applies for situations where there is a \"not-asked\" code for dataAbsentReason."
  },
  {
    "code" : "amended",
    "display" : "Amended",
    "definition" : "Subsequent to being Final, the observation has been modified. This includes updates/new information and corrections.",
    "concept" : [{
      "code" : "corrected",
      "display" : "Corrected",
      "definition" : "Subsequent to being Final, the observation has been modified to correct an error in the original test result(s)."
    },
    {
      "code" : "appended",
      "display" : "Appended",
      "definition" : "Subsequent to being Final, the observation has been modified to include additional information, with no changes to the original test result(s)."
    }]
  },
  {
    "code" : "cancelled",
    "display" : "Cancelled",
    "definition" : "The observation is unavailable because the measurement was not started or not completed (also sometimes called \"aborted\")."
  },
  {
    "code" : "entered-in-error",
    "display" : "Entered in Error",
    "definition" : "The observation has been withdrawn following previous final release.  This electronic record should never have existed, though it is possible that real-world decisions were based on it. (If real-world activity has occurred, the status should be \"cancelled\" rather than \"entered-in-error\".)."
  },
  {
    "code" : "unknown",
    "display" : "Unknown",
    "definition" : "The authoring/source system does not know which of the status values currently applies for this observation. Note: This concept is not to be used for \"other\" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which."
  },
  {
    "code" : "cannot-be-obtained",
    "display" : "Cannot be obtained",
    "definition" : "The observation cannot be obtained."
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.