HL7 Terminology (THO)
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HL7 Terminology (THO), published by HL7 International - Vocabulary Work Group. This guide is not an authorized publication; it is the continuous build for version 6.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/UTG/ and changes regularly. See the Directory of published versions

: DocumentCompletion - JSON Representation

Active as of 2019-03-20

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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 class=\"res-header-id\"><b>Generated Narrative: CodeSystem v3-DocumentCompletion</b></p><a name=\"v3-DocumentCompletion\"> </a><a name=\"hcv3-DocumentCompletion\"> </a><a name=\"v3-DocumentCompletion-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p></div><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>Name</b></td><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>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>Generalizes</td><td/><td>Coding</td><td>Inverse of Specializes.  Only included as a derived relationship.</td></tr><tr><td>internalId</td><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>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 hierarchy:</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" : "3.0.0",
  "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" : [
    {
      "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"
        }
      ]
    }
  ]
}