R4 Draft for Comment

This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3

4.3.2.33 HL7 v3 Value Set DocumentCompletion

Vocabulary

Work Group

Maturity Level: N/A

External

Use Context: Any

This value set (http://hl7.org/fhir/ValueSet/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)

Source Resource

XML / JSON

This value set is used in the following places:

This value set is the designated 'entire code system' value set for v3 Code System DocumentCompletion

4.3.2.33.1 Content Logical Definition

This value set includes codes from the following code systems:

Include all codes defined in http://hl7.org/fhir/v3/DocumentCompletion

4.3.2.33.2 Expansion

This expansion generated 20 Dec 2017

This value set contains 9 concepts

Expansion based on http://hl7.org/fhir/v3/DocumentCompletion version 2017-07-31

All codes from system http://hl7.org/fhir/v3/DocumentCompletion

Code	Display	Definition
AU	authenticated	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.
DI	dictated	A completion status in which information has been orally recorded but not yet transcribed.
DO	documented	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.
IN	incomplete	A completion status in which information is known to be missing from a transcribed document.
IP	in progress	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.
LA	legally authenticated	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.
NU	nullified document	A 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-authenticated	A completion status in which a document is transcribed but not authenticated.
UC	unsigned completed document	A completion status where the document is complete and there is no expectation that the document will be signed.