Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

4.3.14.26 Code System http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle

Vocabulary Work Group Maturity Level: 0Informative Use Context: Any

This is a code system defined by the FHIR project.

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle
Version:null
Name:ISO 21089-2017 Health Record Lifecycle Events
Title:
Definition:

Attached is vocabulary for the 27 record lifecycle events, as per ISO TS 21089-2017, Health Informatics - Trusted End-to-End Information Flows, Section 3, Terms and Definitions (2017, at ISO Central Secretariat, passed ballot and ready for publication). This will also be included in the FHIR EHR Record Lifecycle Event Implementation Guide, balloted and (to be) published with FHIR STU-3.

Committee:??
OID: (for OID based terminology systems)
Copyright:

These codes are excerpted from ISO Standard, TS 21089-2017 - Health Informatics - Trusted End-to-End Information Flows, Copyright by ISO International. Copies of this standard are available through the ISO Web Site at www.iso.org.

Source ResourceXML / JSON

This Code system is used in the following value sets:

  • ValueSet: Audit Event ID (Event Types for Audit Events - defined by DICOM with some FHIR specific additions.)

4.3.14.26.1 Content

This code system http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle defines the following codes:

CodeDisplayDefinition
access Access/View Record Lifecycle EventOccurs when an agent causes the system to obtain and open a record entry for inspection or review.
hold Add Legal Hold Record Lifecycle EventOccurs when an agent causes the system to tag or otherwise indicate special access management and suspension of record entry deletion/destruction, if deemed relevant to a lawsuit or which are reasonably anticipated to be relevant or to fulfill organizational policy under the legal doctrine of “duty to preserve”.
amend Amend (Update) Record Lifecycle EventOccurs when an agent makes any change to record entry content currently residing in storage considered permanent (persistent).
archive Archive Record Lifecycle EventOccurs when an agent causes the system to create and move archive artifacts containing record entry content, typically to long-term offline storage.
attest Attest Record Lifecycle EventOccurs when an agent causes the system to capture the agent’s digital signature (or equivalent indication) during formal validation of record entry content.
decrypt Decrypt Record Lifecycle EventOccurs when an agent causes the system to decode record entry content from a cipher.
deidentify De-Identify (Anononymize) Record Lifecycle EventOccurs when an agent causes the system to scrub record entry content to reduce the association between a set of identifying data and the data subject in a way that might or might not be reversible.
deprecate Deprecate Record Lifecycle EventOccurs when an agent causes the system to tag record entry(ies) as obsolete, erroneous or untrustworthy, to warn against its future use.
destroy Destroy/Delete Record Lifecycle EventOccurs when an agent causes the system to permanently erase record entry content from the system.
disclose Disclose Record Lifecycle EventOccurs when an agent causes the system to release, transfer, provision access to, or otherwise divulge record entry content.
encrypt Encrypt Record Lifecycle EventOccurs when an agent causes the system to encode record entry content in a cipher.
extract Extract Record Lifecycle EventOccurs when an agent causes the system to selectively pull out a subset of record entry content, based on explicit criteria.
link Link Record Lifecycle EventOccurs when an agent causes the system to connect related record entries.
merge Merge Record Lifecycle EventOccurs when an agent causes the system to combine or join content from two or more record entries, resulting in a single logical record entry.
originate Originate/Retain Record Lifecycle EventOccurs when an agent causes the system to: a) initiate capture of potential record content, and b) incorporate that content into the storage considered a permanent part of the health record.
pseudonymize Pseudonymize Record Lifecycle EventOccurs when an agent causes the system to remove record entry content to reduce the association between a set of identifying data and the data subject in a way that may be reversible.
reactivate Re-activate Record Lifecycle EventOccurs when an agent causes the system to recreate or restore full status to record entries previously deleted or deprecated.
receive Receive/Retain Record Lifecycle EventOccurs when an agent causes the system to a) initiate capture of data content from elsewhere, and b) incorporate that content into the storage considered a permanent part of the health record.
reidentify Re-identify Record Lifecycle EventOccurs when an agent causes the system to restore information to data that allows identification of information source and/or information subject.
unhold Remove Legal Hold Record Lifecycle EventOccurs when an agent causes the system to remove a tag or other cues for special access management had required to fulfill organizational policy under the legal doctrine of “duty to preserve”.
report Report (Output) Record Lifecycle EventOccurs when an agent causes the system to produce and deliver record entry content in a particular form and manner.
restore Restore Record Lifecycle EventOccurs when an agent causes the system to recreate record entries and their content from a previous created archive artefact.
transform Transform/Translate Record Lifecycle EventOccurs when an agent causes the system to change the form, language or code system used to represent record entry content.
transmit Transmit Record Lifecycle EventOccurs when an agent causes the system to send record entry content from one (EHR/PHR/other) system to another.
unlink Unlink Record Lifecycle EventOccurs when an agent causes the system to disconnect two or more record entries previously connected, rendering them separate (disconnected) again.
unmerge Unmerge Record Lifecycle EventOccurs when an agent causes the system to reverse a previous record entry merge operation, rendering them separate again.
verify Verify Record Lifecycle EventOccurs when an agent causes the system to confirm compliance of data or data objects with regulations, requirements, specifications, or other imposed conditions based on organizational policy.

 

See the full registry of code systems defined as part of FHIR.

Explanation of the columns that may appear on this page:

LevelA few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.
SourceThe source of the definition of the code (when the value set draws in codes defined elsewhere)
CodeThe code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')
DisplayThe display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
DefinitionAn explanation of the meaning of the concept
CommentsAdditional notes about how to use the code