HL7.TERMINOLOGY\DocumentCompletion

This page is part of the HL7 Terminology (v2.0.0: 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

ValueSet: DocumentCompletion

Summary

Defining URL:

http://terminology.hl7.org/ValueSet/v3-DocumentCompletion

Version:

2.0.0

Name:

DocumentCompletion

Status:

Active as of 2014-03-26

Definition:

Identifies the current completion state of a clinical document.

OID:

2.16.840.1.113883.1.11.271 (for OID based terminology systems)

Source Resource:

XML / JSON / Turtle

References

Included into SecurityIntegrityStatusObservation

Logical Definition (CLD)

Include all codes defined in http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion

Expansion

This value set contains 9 concepts

Expansion based on DocumentCompletion v2.0.0 (CodeSystem)

All codes from system http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion

Code	Display	Definition
AU	authenticated	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.
DI	dictated	A completion status in which information has been orally recorded but not yet transcribed.
DO	documented	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.
IN	incomplete	A completion status in which information is known to be missing from a transcribed document.
IP	in progress	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.
LA	legally authenticated	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.
NU	nullified document	A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.
PA	pre-authenticated	A completion status in which a document is transcribed but not authenticated.
UC	unsigned completed document	A completion status where the document is complete and there is no expectation that the document will be signed.

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code

History

Date

Action

Custodian

Author

Comment

2020-05-06

revise