Connectathon 11 Snapshot

This page is part of the FHIR Specification (v1.2.0: STU 3 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

1.25.4.1.33 HL7 v3 Code System DocumentCompletion

This code system (http://hl7.org/fhir/v3/DocumentCompletion) is defined as part of HL7 v3.

Summary

Defining URL:http://hl7.org/fhir/ValueSet/v3-DocumentCompletion
Name:v3 Code System DocumentCompletion
Definition: Identifies the current completion state of a clinical document.
OID:2.16.840.1.113883.1.11.271 (for OID based terminology systems)
System URL:http://hl7.org/fhir/v3/DocumentCompletion
System OID:2.16.840.1.113883.5.33
Source ResourceXML / JSON

This value set is not currently used

1.25.4.1.33.1 Content Logical Definition


This value set has an inline code system http://hl7.org/fhir/v3/DocumentCompletion, which defines the following codes:

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