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Packagehl7.terminology.r3
Resource TypeCodeSystem
IdCodeSystem-v3-DocumentCompletion.json
FHIR VersionR3

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CodeSystem v3-DocumentCompletion

Language: en

Properties

This code system defines the following properties for its concepts

NameCodeURITypeDescription
Statusstatushttp://hl7.org/fhir/concept-properties#statuscodeDesignation 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:

CodeDisplayDefinitionStatus
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.active
DI dictatedA completion status in which information has been orally recorded but not yet transcribed.active
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.active
IN incompleteA completion status in which information is known to be missing from a transcribed document.active
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.active
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.active
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.active
PA pre-authenticatedA completion status in which a document is transcribed but not authenticated.active
UC unsigned completed documentA completion status where the document is complete and there is no expectation that the document will be signed.active

Source1

{
  "resourceType": "CodeSystem",
  "id": "v3-DocumentCompletion",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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": "4.0.0",
  "name": "DocumentCompletion",
  "title": "DocumentCompletion",
  "status": "active",
  "experimental": false,
  "date": "2019-03-20",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "Identifies the current completion state of a clinical document.",
  "copyright": "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",
  "caseSensitive": true,
  "hierarchyMeaning": "is-a",
  "content": "complete",
  "property": [
    {
      "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": "DI",
      "display": "dictated",
      "definition": "A completion status in which information has been orally recorded but not yet transcribed.",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "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": "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": "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": "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": "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": "PA",
      "display": "pre-authenticated",
      "definition": "A completion status in which a document is transcribed but not authenticated.",
      "property": [
        {
          "code": "status",
          "valueCode": "active"
        }
      ]
    },
    {
      "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"
        }
      ]
    }
  ]
}