R4 Ballot #2 (Mixed Normative/Trial use)

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4.4.2.33 HL7 v3 Value Set DocumentCompletion

Vocabulary Work Group Maturity Level: N/AExternal Use Context: Any

This value set (http://terminology.hl7.org/ValueSet/v3-DocumentCompletion) is defined as part of HL7 v3.

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-DocumentCompletion
Version:2018-08-12
Name:v3.DocumentCompletion
Title: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)
Source ResourceXML / JSON

This value set is used in the following places:

4.4.2.33.1 Content Logical Definition

This value set includes codes from the following code systems:

 

4.4.2.33.2 Expansion

This expansion generated 19 Aug 2018

This value set contains 9 concepts

Expansion based on http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion version 2018-08-12

All codes from system http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion

CodeDisplayDefinition
AUauthenticatedA 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.
DIdictatedA completion status in which information has been orally recorded but not yet transcribed.
DOdocumentedA 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.
INincompleteA completion status in which information is known to be missing from a transcribed document.
IPin 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.
LAlegally 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.
NUnullified documentA completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.
PApre-authenticatedA completion status in which a document is transcribed but not authenticated.
UCunsigned completed documentA completion status where the document is complete and there is no expectation that the document will be signed.