{
  "resourceType" : "ValueSet",
  "id" : "R5-state-change-reason-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-state-change-reason-for-R4</b></p><a name=\"R5-state-change-reason-for-R4\"> </a><a name=\"hcR5-state-change-reason-for-R4\"> </a><p>This value set expansion contains 19 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-adverseEvent\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-adverseEvent\">adverseEvent</a></td><td>adverse event</td><td>adverse event.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-death\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-death\">death</a></td><td>death (adverse event)</td><td>death (adverse event).</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-eligibleButNo\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-eligibleButNo\">eligibleButNo</a></td><td>eligible but unwilling or unable to participate</td><td>eligible but unwilling or unable to participate.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-enrolled\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-enrolled\">enrolled</a></td><td>enrolled or registered</td><td>enrolled or registered.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-exclusion\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-exclusion\">exclusion</a></td><td>exclusion</td><td>exclusion.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-followUpComplete\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-followUpComplete\">followUpComplete</a></td><td>follow-up complete</td><td>follow-up complete.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-inclusion\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-inclusion\">inclusion</a></td><td>inclusion</td><td>inclusion.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-informedConsentSigned\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-informedConsentSigned\">informedConsentSigned</a></td><td>Informed consent signed</td><td>Informed consent signed.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-intOrObsComplete\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-intOrObsComplete\">intOrObsComplete</a></td><td>intervention or observation complete</td><td>intervention or observation complete.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-nonCompliance\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-nonCompliance\">nonCompliance</a></td><td>non-compliance</td><td>non-compliance.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-notEligible\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-notEligible\">notEligible</a></td><td>did not meet eligibility criteria</td><td>did not meet eligibility criteria.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-preReg\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-preReg\">preReg</a></td><td>pre-registered or slot reserved</td><td>pre-registered or slot reserved.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-refuseConsent\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-refuseConsent\">refuseConsent</a></td><td>refuse consent</td><td>refuse consent.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-screenFailure\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-screenFailure\">screenFailure</a></td><td>screen failure</td><td>screen failure.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-studyClosed\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-studyClosed\">studyClosed</a></td><td>study permanently closed to accrual</td><td>study permanently closed to accrual.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-studyTerminated\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-studyTerminated\">studyTerminated</a></td><td>study terminated</td><td>study terminated.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-subjectRefusal\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-subjectRefusal\">subjectRefusal</a></td><td>subject refusal</td><td>subject refusal.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-unwillingOrUnable\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-unwillingOrUnable\">unwillingOrUnable</a></td><td>unwilling or unable to participate</td><td>unwilling or unable to participate.</td></tr><tr><td><a name=\"R5-state-change-reason-for-R4-http://terminology.hl7.org/CodeSystem/state-change-reason-withdrawnConsent\"> </a><code>http://terminology.hl7.org/CodeSystem/state-change-reason</code></td><td>0.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0<a href=\"CodeSystem-state-change-reason.html#state-change-reason-withdrawnConsent\">withdrawnConsent</a></td><td>withdrawn consent</td><td>withdrawn consent.</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "brr"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r5.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-state-change-reason-for-R4",
  "version" : "0.1.0",
  "name" : "R5StateChangeReasonForR4",
  "title" : "Cross-version ValueSet R5.StateChangeReason for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "Biomedical Research and Regulation",
  "contact" : [{
    "name" : "Biomedical Research and Regulation",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/rcrim"
    }]
  }],
  "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/state-change-reason|0.1.0` for use in FHIR R4.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/state-change-reason|0.1.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* `ResearchSubject.progress.reason`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/state-change-reason|0.1.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "concept" : [{
        "code" : "adverseEvent",
        "display" : "adverse event"
      },
      {
        "code" : "death",
        "display" : "death (adverse event)"
      },
      {
        "code" : "eligibleButNo",
        "display" : "eligible but unwilling or unable to participate"
      },
      {
        "code" : "enrolled",
        "display" : "enrolled or registered"
      },
      {
        "code" : "exclusion",
        "display" : "exclusion"
      },
      {
        "code" : "followUpComplete",
        "display" : "follow-up complete"
      },
      {
        "code" : "inclusion",
        "display" : "inclusion"
      },
      {
        "code" : "informedConsentSigned",
        "display" : "Informed consent signed"
      },
      {
        "code" : "intOrObsComplete",
        "display" : "intervention or observation complete"
      },
      {
        "code" : "nonCompliance",
        "display" : "non-compliance"
      },
      {
        "code" : "notEligible",
        "display" : "did not meet eligibility criteria"
      },
      {
        "code" : "preReg",
        "display" : "pre-registered or slot reserved"
      },
      {
        "code" : "refuseConsent",
        "display" : "refuse consent"
      },
      {
        "code" : "screenFailure",
        "display" : "screen failure"
      },
      {
        "code" : "studyClosed",
        "display" : "study permanently closed to accrual"
      },
      {
        "code" : "studyTerminated",
        "display" : "study terminated"
      },
      {
        "code" : "subjectRefusal",
        "display" : "subject refusal"
      },
      {
        "code" : "unwillingOrUnable",
        "display" : "unwilling or unable to participate"
      },
      {
        "code" : "withdrawnConsent",
        "display" : "withdrawn consent"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "adverseEvent",
      "display" : "adverse event"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "death",
      "display" : "death (adverse event)"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "eligibleButNo",
      "display" : "eligible but unwilling or unable to participate"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "enrolled",
      "display" : "enrolled or registered"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "exclusion",
      "display" : "exclusion"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "followUpComplete",
      "display" : "follow-up complete"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "inclusion",
      "display" : "inclusion"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "informedConsentSigned",
      "display" : "Informed consent signed"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "intOrObsComplete",
      "display" : "intervention or observation complete"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "nonCompliance",
      "display" : "non-compliance"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "notEligible",
      "display" : "did not meet eligibility criteria"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "preReg",
      "display" : "pre-registered or slot reserved"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "refuseConsent",
      "display" : "refuse consent"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "screenFailure",
      "display" : "screen failure"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "studyClosed",
      "display" : "study permanently closed to accrual"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "studyTerminated",
      "display" : "study terminated"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "subjectRefusal",
      "display" : "subject refusal"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "unwillingOrUnable",
      "display" : "unwilling or unable to participate"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/state-change-reason",
      "version" : "0.1.0",
      "code" : "withdrawnConsent",
      "display" : "withdrawn consent"
    }]
  }
}