HL7 Terminology (THO)
3.1.0 - Publication International flag

This page is part of the HL7 Terminology (v3.1.0: 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

Official URL: http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion Version: 2.1.0
Active as of 2019-03-20 Responsible: Health Level 7 Computable Name: DocumentCompletion
Other Identifiers: : urn:oid:2.16.840.1.113883.5.33

Identifies the current completion state of a clinical document.

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

Properties

CodeURLTypeDescription
SpecializesCodingThe 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.
GeneralizesCodingInverse of Specializes. Only included as a derived relationship.
internalIdhttp://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-idcodeThe internal identifier for the concept in the HL7 Access database repository.
statushttp://hl7.org/fhir/concept-properties#statuscodeDesignation of a concept's state. Normally is not populated unless the state is retired.

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

CodeDisplayDefinitioninternalIdstatus
AU authenticatedA 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.10581active
DI dictatedA completion status in which information has been orally recorded but not yet transcribed.10576active
DO documentedA 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.10577active
IN incompleteA completion status in which information is known to be missing from a transcribed document.10579active
IP in progressA 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.10578active
LA legally authenticatedA 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.10582active
NU nullified documentA completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.23537active
PA pre-authenticatedA completion status in which a document is transcribed but not authenticated.10580active
UC unsigned completed documentA completion status where the document is complete and there is no expectation that the document will be signed.23538active

History

DateActionAuthorCustodianComment
2022-02-17 12:00:32+1100reviseGrahame GrieveVocabulary WGPopulate Missing caseSensitive property; UP-286
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.