HL7 Terminology (THO)
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This page is part of the HL7 Terminology (v6.0.0: Release) based on FHIR (HL7® FHIR® Standard) v5.0.0. 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

CodeSystem: DocumentCompletion

Official URL: http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion Version: 3.0.0
Active as of 2019-03-20 Responsible: Health Level Seven International Computable Name: DocumentCompletion
Other Identifiers: OID:2.16.840.1.113883.5.33

Copyright/Legal: 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.html

Identifies the current completion state of a clinical document.

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

Generated Narrative: CodeSystem v3-DocumentCompletion

Language: en

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
Specializes Specializes Coding 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.
Generalizes Generalizes Coding Inverse of Specializes. Only included as a derived relationship.
internalId internalId http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id code The internal identifier for the concept in the HL7 Access database repository.
Status status http://hl7.org/fhir/concept-properties#status code Designation of a concept's state. Normally is not populated unless the state is retired.

Concepts

This case-sensitive code system http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion defines the following codes in a Is-A hierarchy:

CodeDisplayDefinitioninternalIdStatus
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

DateActionCustodianAuthorComment
2023-11-14reviseTSMGMarc DuteauAdd standard copyright and contact to internal content; up-476
2022-10-18reviseTSMGMarc DuteauFixing missing metadata; up-349
2022-02-17 00:00:32+1100reviseVocabulary WGGrahame GrievePopulate Missing caseSensitive property; UP-286
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.