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. Page versions: R4 R3
| Vocabulary Work Group | Maturity Level: N/A | Standards Status: Informative |
Raw JSON (canonical form + also see JSON Format Specification)
A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable."
{
"resourceType" : "ValueSet",
"id" : "v3-ActClassClinicalDocument",
"meta" : {
"lastUpdated" : "2019-11-01T09:29:23.356+11:00",
"profile" : ["http://hl7.org/fhir/StructureDefinition/shareablevalueset"]
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "external"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0
}],
"url" : "http://terminology.hl7.org/ValueSet/v3-ActClassClinicalDocument",
"identifier" : [{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.1.11.13948"
}],
"version" : "2014-03-26",
"name" : "v3.ActClassClinicalDocument",
"title" : "V3 Value SetActClassClinicalDocument",
"status" : "active",
"experimental" : false,
"publisher" : "HL7 v3",
"contact" : [{
"telecom" : [{
"system" : "url",
"value" : "http://www.hl7.org"
}]
}],
"description" : " A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable.\"",
"immutable" : true,
"compose" : {
"include" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"filter" : [{
"property" : "concept",
"op" : "is-a",
"value" : "DOCCLIN"
}]
}]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.