HL7.TERMINOLOGY\DocumentCompletion

This page is part of the HL7 Terminology (v2.1.0: 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

CodeSystem: DocumentCompletion

Summary

Defining URL:

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

Version:

2.0.0

Name:

DocumentCompletion

Status:

Active as of 2019-03-20

Definition:

Identifies the current completion state of a clinical document.

Publisher:

Health Level 7

Content:

Complete: All the concepts defined by the code system are included in the code system resource

OID:

2.16.840.1.113883.5.33 (for OID based terminology systems)

Source Resource:

XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

Properties

Code

URL

Description

Type

Specializes

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.

Coding

Generalizes

Inverse of Specializes. Only included as a derived relationship.

Coding

internalId

http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id

The internal identifier for the concept in the HL7 Access database repository.

code

status

http://hl7.org/fhir/concept-properties#status

Designation of a concept's state. Normally is not populated unless the state is retired.

code

This code system http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion defines the following codes:

Code	Display	Definition	internalId	status
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.	10581	active
DI	dictated	A completion status in which information has been orally recorded but not yet transcribed.	10576	active
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.	10577	active
IN	incomplete	A completion status in which information is known to be missing from a transcribed document.	10579	active
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.	10578	active
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.	10582	active
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.	23537	active
PA	pre-authenticated	A completion status in which a document is transcribed but not authenticated.	10580	active
UC	unsigned completed document	A completion status where the document is complete and there is no expectation that the document will be signed.	23538	active

History

Date

Action

Custodian

Author

Comment

2020-05-06

revise

Vocabulary WG

Ted Klein

Migrated to the UTG maintenance environment and publishing tooling.