HL7 Terminology
2.1.0 - Publication

This page is part of the HL7 Terminology (v2.1.0: Release) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: DocumentCompletion - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "v3-DocumentCompletion",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><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>"
  },
  "url" : "http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.5.33"
    }
  ],
  "version" : "2.0.0",
  "name" : "DocumentCompletion",
  "title" : "DocumentCompletion",
  "status" : "active",
  "date" : "2019-03-20",
  "publisher" : "Health Level 7",
  "contact" : [
    {
      "name" : "Health Level Seven"
    }
  ],
  "description" : "Identifies the current completion state of a clinical document.",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "property" : [
    {
      "extension" : [
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
          "valueCode" : "antisymmetric"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
          "valueCode" : "transitive"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
          "valueCode" : "irreflexive"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
          "valueBoolean" : true
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
          "valueCode" : "Specializes"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
          "valueString" : "Generalizes"
        }
      ],
      "code" : "Specializes",
      "description" : "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" : "Coding"
    },
    {
      "extension" : [
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry",
          "valueCode" : "antisymmetric"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity",
          "valueCode" : "transitive"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity",
          "valueCode" : "irreflexive"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable",
          "valueBoolean" : true
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind",
          "valueCode" : "Generalizes"
        },
        {
          "url" : "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName",
          "valueString" : "Specializes"
        }
      ],
      "code" : "Generalizes",
      "description" : "Inverse of Specializes.  Only included as a derived relationship.",
      "type" : "Coding"
    },
    {
      "code" : "internalId",
      "uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
      "description" : "The internal identifier for the concept in the HL7 Access database repository.",
      "type" : "code"
    },
    {
      "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" : "AU",
      "display" : "authenticated",
      "definition" : "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" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10581"
        }
      ]
    },
    {
      "code" : "DI",
      "display" : "dictated",
      "definition" : "A completion status in which information has been orally recorded but not yet transcribed.",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10576"
        }
      ]
    },
    {
      "code" : "DO",
      "display" : "documented",
      "definition" : "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" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10577"
        }
      ]
    },
    {
      "code" : "IN",
      "display" : "incomplete",
      "definition" : "A completion status in which information is known to be missing from a transcribed document.",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10579"
        }
      ]
    },
    {
      "code" : "IP",
      "display" : "in progress",
      "definition" : "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" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10578"
        }
      ]
    },
    {
      "code" : "LA",
      "display" : "legally authenticated",
      "definition" : "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" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10582"
        }
      ]
    },
    {
      "code" : "NU",
      "display" : "nullified document",
      "definition" : "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" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "23537"
        }
      ]
    },
    {
      "code" : "PA",
      "display" : "pre-authenticated",
      "definition" : "A completion status in which a document is transcribed but not authenticated.",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "10580"
        }
      ]
    },
    {
      "code" : "UC",
      "display" : "unsigned completed document",
      "definition" : "A completion status where the document is complete and there is no expectation that the document will be signed.",
      "property" : [
        {
          "code" : "status",
          "valueCode" : "active"
        },
        {
          "code" : "internalId",
          "valueCode" : "23538"
        }
      ]
    }
  ]
}