{
  "resourceType": "CodeSystem",
  "id": "observation-status-reason",
  "meta": {
    "lastUpdated": "2026-07-03T14:29:03.795+00:00"
  },
  "text": {
    "status": "generated",
    "div": "\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: CodeSystem observation-status-reason\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"observation-status-reason\"\u003e \u003c/a\u003e\u003ca name\u003d\"hcobservation-status-reason\"\u003e \u003c/a\u003e\u003cp\u003eThis case-sensitive code system \u003ccode\u003ehttp://hl7.org/fhir/CodeSystem/observation-status-reason\u003c/code\u003e defines the following codes:\u003c/p\u003e\u003ctable class\u003d\"codes\"\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003e\u003cb\u003eCode\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDisplay\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eDefinition\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003epatient-mismatch\u003ca name\u003d\"observation-status-reason-patient-mismatch\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003ePatient Mismatch\u003c/td\u003e\u003ctd\u003eThe patient identity or subject context did not match the expected patient or subject.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003esample-mismatch\u003ca name\u003d\"observation-status-reason-sample-mismatch\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eSample Mismatch\u003c/td\u003e\u003ctd\u003eThe specimen, sample, or referenced result did not match the expected subject, order, container, or report.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003einvalid-calibration\u003ca name\u003d\"observation-status-reason-invalid-calibration\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eInvalid Calibration\u003c/td\u003e\u003ctd\u003eThe device, instrument, or analyzer calibration used for referenced results was invalid, expired, or otherwise unreliable.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003ereagent-issue\u003ca name\u003d\"observation-status-reason-reagent-issue\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eReagent issue\u003c/td\u003e\u003ctd\u003eAn incorrect, invalid, expired, recalled, or otherwise unsuitable reagent or reagent lot was used or identified for referenced results.\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd style\u003d\"white-space:nowrap\"\u003eduplicate\u003ca name\u003d\"observation-status-reason-duplicate\"\u003e \u003c/a\u003e\u003c/td\u003e\u003ctd\u003eDuplicate\u003c/td\u003e\u003ctd\u003eThe observation duplicates another observation.\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "oo"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "informative"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://hl7.org/fhir/CodeSystem/observation-status-reason",
  "version": "6.0.0-ballot4",
  "name": "ObservationStatusReasonCodes",
  "title": "Observation Status Reason Codes",
  "status": "active",
  "experimental": true,
  "publisher": "HL7 International - Orders and Observations",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/orders/index.cfm"
        }
      ]
    }
  ],
  "description": "Codes indicating why an observation is in its current status.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "copyright": "Copyright HL7. Licensed under creative commons public domain",
  "caseSensitive": true,
  "valueSet": "http://hl7.org/fhir/ValueSet/observation-status-reason",
  "content": "complete",
  "concept": [
    {
      "code": "patient-mismatch",
      "display": "Patient Mismatch",
      "definition": "The patient identity or subject context did not match the expected patient or subject."
    },
    {
      "code": "sample-mismatch",
      "display": "Sample Mismatch",
      "definition": "The specimen, sample, or referenced result did not match the expected subject, order, container, or report."
    },
    {
      "code": "invalid-calibration",
      "display": "Invalid Calibration",
      "definition": "The device, instrument, or analyzer calibration used for referenced results was invalid, expired, or otherwise unreliable."
    },
    {
      "code": "reagent-issue",
      "display": "Reagent issue",
      "definition": "An incorrect, invalid, expired, recalled, or otherwise unsuitable reagent or reagent lot was used or identified for referenced results."
    },
    {
      "code": "duplicate",
      "display": "Duplicate",
      "definition": "The observation duplicates another observation."
    }
  ]
}