HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v5.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: DocumentCompletion - XML Representation

Active as of 2019-03-20

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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"><p><b>Properties</b></p><p><b>This code system  defines the following properties for its concepts</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>URI</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>Specializes</td><td/><td>Coding</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></tr><tr><td>Generalizes</td><td/><td>Coding</td><td>Inverse of Specializes.  Only included as a derived relationship.</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>code</td><td>The internal identifier for the concept in the HL7 Access database repository.</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>code</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td></tr></table><p><b>Concepts</b></p><p>This case-sensitive code system <code>http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion</code> defines the following codes in a Is-A heirarchy:</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="3.0.0"/>
  <name value="DocumentCompletion"/>
  <title value="DocumentCompletion"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2019-03-20"/>
  <publisher value="Health Level Seven International"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hq@HL7.org"/>
    </telecom>
  </contact>
  <description
               value="Identifies the current completion state of a clinical document."/>
  <copyright
             value="This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license"/>
  <caseSensitive value="true"/>
  <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'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>