This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. The current version which supercedes this version is 5.2.0. For a full list of available versions, see the Directory of published versions

DocumentCompletion - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v3-DocumentCompletion"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"><h2>DocumentCompletion</h2><div><p>Identifies the current completion state of a clinical document.</p>
</div><p><b>Properties</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>Specializes</td><td/><td>The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric.</td><td>Coding</td></tr><tr><td>Generalizes</td><td/><td>Inverse of Specializes.  Only included as a derived relationship.</td><td>Coding</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion 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><td><b>internalId</b></td><td><b>status</b></td></tr><tr><td style="white-space:nowrap">AU<a name="v3-DocumentCompletion-AU"> </a></td><td>authenticated</td><td>A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual.</td><td>10581</td><td>active</td></tr><tr><td style="white-space:nowrap">DI<a name="v3-DocumentCompletion-DI"> </a></td><td>dictated</td><td>A completion status in which information has been orally recorded but not yet transcribed.</td><td>10576</td><td>active</td></tr><tr><td style="white-space:nowrap">DO<a name="v3-DocumentCompletion-DO"> </a></td><td>documented</td><td>A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format. Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text.</td><td>10577</td><td>active</td></tr><tr><td style="white-space:nowrap">IN<a name="v3-DocumentCompletion-IN"> </a></td><td>incomplete</td><td>A completion status in which information is known to be missing from a transcribed document.</td><td>10579</td><td>active</td></tr><tr><td style="white-space:nowrap">IP<a name="v3-DocumentCompletion-IP"> </a></td><td>in progress</td><td>A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed.</td><td>10578</td><td>active</td></tr><tr><td style="white-space:nowrap">LA<a name="v3-DocumentCompletion-LA"> </a></td><td>legally authenticated</td><td>A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression.</td><td>10582</td><td>active</td></tr><tr><td style="white-space:nowrap">NU<a name="v3-DocumentCompletion-NU"> </a></td><td>nullified document</td><td>A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.</td><td>23537</td><td>active</td></tr><tr><td style="white-space:nowrap">PA<a name="v3-DocumentCompletion-PA"> </a></td><td>pre-authenticated</td><td>A completion status in which a document is transcribed but not authenticated.</td><td>10580</td><td>active</td></tr><tr><td style="white-space:nowrap">UC<a name="v3-DocumentCompletion-UC"> </a></td><td>unsigned completed document</td><td>A completion status where the document is complete and there is no expectation that the document will be signed.</td><td>23538</td><td>active</td></tr></table></div>
  </text>
  <url value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.5.33"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="DocumentCompletion"/>
  <title value="DocumentCompletion"/>
  <status value="active"/>
  <date value="2019-03-20T00:00:00-04:00"/>
  <publisher value="Health Level 7"/>
  <contact>
    <name value="Health Level Seven"/>
  </contact>
  <description
               value="Identifies the current completion state of a clinical document."/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <property>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry">
      <valueCode value="antisymmetric"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity">
      <valueCode value="transitive"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity">
      <valueCode value="irreflexive"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable">
      <valueBoolean value="true"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind">
      <valueCode value="Specializes"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName">
      <valueString value="Generalizes"/>
    </extension>
    <code value="Specializes"/>
    <description
                 value="The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric."/>
    <type value="Coding"/>
  </property>
  <property>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry">
      <valueCode value="antisymmetric"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity">
      <valueCode value="transitive"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity">
      <valueCode value="irreflexive"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable">
      <valueBoolean value="true"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind">
      <valueCode value="Generalizes"/>
    </extension>
    <extension
               url="http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName">
      <valueString value="Specializes"/>
    </extension>
    <code value="Generalizes"/>
    <description
                 value="Inverse of Specializes.  Only included as a derived relationship."/>
    <type value="Coding"/>
  </property>
  <property>
    <code value="internalId"/>
    <uri
         value="http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id"/>
    <description
                 value="The internal identifier for the concept in the HL7 Access database repository."/>
    <type value="code"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description
                 value="Designation of a concept&#39;s state. Normally is not populated unless the state is retired."/>
    <type value="code"/>
  </property>
  <concept>
    <code value="AU"/>
    <display value="authenticated"/>
    <definition
                value="A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10581"/>
    </property>
  </concept>
  <concept>
    <code value="DI"/>
    <display value="dictated"/>
    <definition
                value="A completion status in which information has been orally recorded but not yet transcribed."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10576"/>
    </property>
  </concept>
  <concept>
    <code value="DO"/>
    <display value="documented"/>
    <definition
                value="A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format. Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10577"/>
    </property>
  </concept>
  <concept>
    <code value="IN"/>
    <display value="incomplete"/>
    <definition
                value="A completion status in which information is known to be missing from a transcribed document."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10579"/>
    </property>
  </concept>
  <concept>
    <code value="IP"/>
    <display value="in progress"/>
    <definition
                value="A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10578"/>
    </property>
  </concept>
  <concept>
    <code value="LA"/>
    <display value="legally authenticated"/>
    <definition
                value="A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10582"/>
    </property>
  </concept>
  <concept>
    <code value="NU"/>
    <display value="nullified document"/>
    <definition
                value="A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="23537"/>
    </property>
  </concept>
  <concept>
    <code value="PA"/>
    <display value="pre-authenticated"/>
    <definition
                value="A completion status in which a document is transcribed but not authenticated."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="10580"/>
    </property>
  </concept>
  <concept>
    <code value="UC"/>
    <display value="unsigned completed document"/>
    <definition
                value="A completion status where the document is complete and there is no expectation that the document will be signed."/>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
    <property>
      <code value="internalId"/>
      <valueCode value="23538"/>
    </property>
  </concept>
</CodeSystem>