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Example CodeSystem/observation-status-reason (JSON)

Responsible Owner: Orders and Observations Work GroupStandards Status: Informative

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

Definition for Code SystemObservationStatusReasonCodes

{
  "resourceType" : "CodeSystem",
  "id" : "observation-status-reason",
  "meta" : {
    "lastUpdated" : "2026-06-18T02:13:11.240+00:00"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem observation-status-reason</b></p><a name=\"observation-status-reason\"> </a><a name=\"hcobservation-status-reason\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/CodeSystem/observation-status-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">patient-mismatch<a name=\"observation-status-reason-patient-mismatch\"> </a></td><td>Patient Mismatch</td><td>The patient identity or subject context did not match the expected patient or subject.</td></tr><tr><td style=\"white-space:nowrap\">sample-mismatch<a name=\"observation-status-reason-sample-mismatch\"> </a></td><td>Sample Mismatch</td><td>The specimen, sample, or referenced result did not match the expected subject, order, container, or report.</td></tr><tr><td style=\"white-space:nowrap\">invalid-calibration<a name=\"observation-status-reason-invalid-calibration\"> </a></td><td>Invalid Calibration</td><td>The device, instrument, or analyzer calibration used for referenced results was invalid, expired, or otherwise unreliable.</td></tr><tr><td style=\"white-space:nowrap\">reagent-issue<a name=\"observation-status-reason-reagent-issue\"> </a></td><td>Reagent issue</td><td>An incorrect, invalid, expired, recalled, or otherwise unsuitable reagent or reagent lot was used or identified for referenced results.</td></tr><tr><td style=\"white-space:nowrap\">duplicate<a name=\"observation-status-reason-duplicate\"> </a></td><td>Duplicate</td><td>The observation duplicates another observation.</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" : "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."
  }]
}

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.