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Narrative

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Source1

{
  "resourceType": "CodeSystem",
  "id": "state-change-reason",
  "meta": {
    "lastUpdated": "2020-04-09T21:10:28.568+00:00"
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "brr"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    }
  ],
  "url": "http://terminology.hl7.org/CodeSystem/state-change-reason",
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:2.16.840.1.113883.4.642.1.0"
  },
  "version": "2.0.0",
  "name": "StateChangeReason",
  "title": "StateChangeReason",
  "status": "active",
  "experimental": false,
  "date": "2026-03-05",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Indicates why the state of the subject changed.",
  "copyright": "This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "caseSensitive": true,
  "valueSet": "http://terminology.hl7.org/ValueSet/state-change-reason",
  "content": "complete",
  "property": [
    {
      "code": "status",
      "uri": "http://hl7.org/fhir/concept-properties#status",
      "description": "Designation of a concept's state. Normally is not populated unless the state is retired.",
      "type": "code"
    }
  ],
  "concept": [
    {
      "code": "unable-to-participate",
      "display": "Unable to Participate",
      "definition": "The subject (ResearchSubject) is not able to take part in the ResearchStudy. Examples: subject has moved away; subject cannot drive and therefore unable to participate, etc."
    },
    {
      "code": "unwilling-to-participate",
      "display": "Unwilling to Participate",
      "definition": "The subject (ResearchSubject) is refusing to take part in the ResearchStudy. Note: Subject refusal is a synonymous term and is used in some studies."
    },
    {
      "code": "screening-failure",
      "display": "Screening Failure",
      "definition": "The failure of the potential subject (ResearchSubject) of meeting one or more criteria required for participation in a trial."
    },
    {
      "code": "intervention-complete",
      "display": "Intervention Complete",
      "definition": "The subject (ResearchSubject) has finished the planned protocol-specified treatment phase."
    },
    {
      "code": "follow-up-complete",
      "display": "Follow-up Complete",
      "definition": "The subject (ResearchSubject) has finished the planned protocol-specified follow-up phase."
    },
    {
      "code": "adverse-event",
      "display": "Adverse Event",
      "definition": "The subject (ResearchSubject) has experienced any unfavorable or unintended disease, sign, or symptom that is temporally associated with the use of a medical treatment or procedure and that may or may not be considered related to the medical treatment or procedure."
    },
    {
      "code": "consent-withdrawn",
      "display": "Consent Withdrawn",
      "definition": "The subject (ResearchSubject) has revoked permission to participate in the study or one or more components of the study."
    },
    {
      "code": "non-compliance",
      "display": "Non-compliance",
      "definition": "The subject (ResearchSubject) has failed to follow medical advice, take medication as directed, or adhere to a prescribed course of treatment."
    },
    {
      "code": "informedConsentSigned",
      "display": "Informed consent signed",
      "definition": "The subject (ResearchSubject) has signed informed consent.",
      "designation": [
        {
          "use": {
            "system": "http://snomed.info/sct",
            "code": "900000000000013009",
            "display": "Synonym"
          },
          "value": "Informed Consent"
        }
      ]
    },
    {
      "code": "intOrObsComplete",
      "display": "intervention or observation complete",
      "definition": "intervention or observation complete.",
      "property": [
        {
          "code": "status",
          "valueCode": "deprecated"
        },
        {
          "code": "deprecationDate",
          "valueDateTime": "2025-04-17"
        },
        {
          "code": "replacedBy",
          "valueCode": "intervention-complete"
        }
      ]
    },
    {
      "code": "death",
      "display": "Death",
      "definition": "The subject (ResearchSubject) has died."
    }
  ]
}