R4 Ballot #1 (Mixed Normative/Trial use)

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Codesystem-iso-21089-lifecycle.xml

Vocabulary Work GroupMaturity Level: N/ABallot Status: Informative

Raw XML (canonical form)

Definition for Code System ISO 21089-2017 Health Record Lifecycle Events

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="iso-21089-lifecycle"/> 
  <meta> 
    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> ISO 21089-2017 Health Record Lifecycle Events</h2> 
      <div> 
        <p> 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.</p> 

      </div> 
      <p> 
        <b> Copyright Statement:</b>  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.
      </p> 
      <p> This code system http://hl7.org/fhir/iso-21089-lifecycle defines the following codes:</p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">access
            <a name="iso-21089-lifecycle-access"> </a> 
          </td> 
          <td> Access/View Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to obtain and open a record entry for inspection
             or review.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">hold
            <a name="iso-21089-lifecycle-hold"> </a> 
          </td> 
          <td> Add Legal Hold Record Lifecycle Event</td> 
          <td> Occurs 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”.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">amend
            <a name="iso-21089-lifecycle-amend"> </a> 
          </td> 
          <td> Amend (Update) Record Lifecycle Event</td> 
          <td> Occurs when an agent makes any change to record entry content currently residing in storage
             considered permanent (persistent).</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">archive
            <a name="iso-21089-lifecycle-archive"> </a> 
          </td> 
          <td> Archive Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to create and move archive artifacts containing
             record entry content, typically to long-term offline storage.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">attest
            <a name="iso-21089-lifecycle-attest"> </a> 
          </td> 
          <td> Attest Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to capture the agent’s digital signature (or equivalent
             indication) during formal validation of record entry content.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">decrypt
            <a name="iso-21089-lifecycle-decrypt"> </a> 
          </td> 
          <td> Decrypt Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to decode record entry content from a cipher.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">deidentify
            <a name="iso-21089-lifecycle-deidentify"> </a> 
          </td> 
          <td> De-Identify (Anononymize) Record Lifecycle Event</td> 
          <td> Occurs 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">deprecate
            <a name="iso-21089-lifecycle-deprecate"> </a> 
          </td> 
          <td> Deprecate Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to tag record entry(ies) as obsolete, erroneous
             or untrustworthy, to warn against its future use.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">destroy
            <a name="iso-21089-lifecycle-destroy"> </a> 
          </td> 
          <td> Destroy/Delete Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to permanently erase record entry content from
             the system.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">disclose
            <a name="iso-21089-lifecycle-disclose"> </a> 
          </td> 
          <td> Disclose Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to release, transfer, provision access to, or otherwise
             divulge record entry content.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">encrypt
            <a name="iso-21089-lifecycle-encrypt"> </a> 
          </td> 
          <td> Encrypt Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to encode record entry content in a cipher.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">extract
            <a name="iso-21089-lifecycle-extract"> </a> 
          </td> 
          <td> Extract Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to selectively pull out a subset of record entry
             content, based on explicit criteria.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">link
            <a name="iso-21089-lifecycle-link"> </a> 
          </td> 
          <td> Link Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to connect related record entries.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">merge
            <a name="iso-21089-lifecycle-merge"> </a> 
          </td> 
          <td> Merge Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to combine or join content from two or more record
             entries, resulting in a single logical record entry.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">originate
            <a name="iso-21089-lifecycle-originate"> </a> 
          </td> 
          <td> Originate/Retain Record Lifecycle Event</td> 
          <td> Occurs 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">pseudonymize
            <a name="iso-21089-lifecycle-pseudonymize"> </a> 
          </td> 
          <td> Pseudonymize Record Lifecycle Event</td> 
          <td> Occurs 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">reactivate
            <a name="iso-21089-lifecycle-reactivate"> </a> 
          </td> 
          <td> Re-activate Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to recreate or restore full status to record entries
             previously deleted or deprecated.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">receive
            <a name="iso-21089-lifecycle-receive"> </a> 
          </td> 
          <td> Receive/Retain Record Lifecycle Event</td> 
          <td> Occurs 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">reidentify
            <a name="iso-21089-lifecycle-reidentify"> </a> 
          </td> 
          <td> Re-identify Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to restore information to data that allows identification
             of information source and/or information subject.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">unhold
            <a name="iso-21089-lifecycle-unhold"> </a> 
          </td> 
          <td> Remove Legal Hold Record Lifecycle Event</td> 
          <td> Occurs 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”.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">report
            <a name="iso-21089-lifecycle-report"> </a> 
          </td> 
          <td> Report (Output) Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to produce and deliver record entry content in
             a particular form and manner.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">restore
            <a name="iso-21089-lifecycle-restore"> </a> 
          </td> 
          <td> Restore Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to recreate record entries and their content from
             a previous created archive artefact.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">transform
            <a name="iso-21089-lifecycle-transform"> </a> 
          </td> 
          <td> Transform/Translate Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to change the form, language or code system used
             to represent record entry content.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">transmit
            <a name="iso-21089-lifecycle-transmit"> </a> 
          </td> 
          <td> Transmit Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to send record entry content from one (EHR/PHR/other)
             system to another.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">unlink
            <a name="iso-21089-lifecycle-unlink"> </a> 
          </td> 
          <td> Unlink Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to disconnect two or more record entries previously
             connected, rendering them separate (disconnected) again.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">unmerge
            <a name="iso-21089-lifecycle-unmerge"> </a> 
          </td> 
          <td> Unmerge Record Lifecycle Event</td> 
          <td> Occurs when an agent causes the system to reverse a previous record entry merge operation,
             rendering them separate again.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">verify
            <a name="iso-21089-lifecycle-verify"> </a> 
          </td> 
          <td> Verify Record Lifecycle Event</td> 
          <td> Occurs 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.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <url value="http://hl7.org/fhir/iso-21089-lifecycle"/> 
  <name value="ISO 21089-2017 Health Record Lifecycle Events"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <description value="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."/> 
  <copyright value="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."/> 
  <caseSensitive value="true"/> 
  <content value="complete"/> 
  <concept> 
    <code value="access"/> 
    <display value="Access/View Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to obtain and open a record entry for inspection
     or review."/> 
  </concept> 
  <concept> 
    <code value="hold"/> 
    <display value="Add Legal Hold Record Lifecycle Event"/> 
    <definition value="Occurs 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”."/> 
  </concept> 
  <concept> 
    <code value="amend"/> 
    <display value="Amend (Update) Record Lifecycle Event"/> 
    <definition value="Occurs when an agent makes any change to record entry content currently residing in storage
     considered permanent (persistent)."/> 
  </concept> 
  <concept> 
    <code value="archive"/> 
    <display value="Archive Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to create and move archive artifacts containing
     record entry content, typically to long-term offline storage."/> 
  </concept> 
  <concept> 
    <code value="attest"/> 
    <display value="Attest Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to capture the agent’s digital signature (or equivalent
     indication) during formal validation of record entry content."/> 
  </concept> 
  <concept> 
    <code value="decrypt"/> 
    <display value="Decrypt Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to decode record entry content from a cipher."/> 
  </concept> 
  <concept> 
    <code value="deidentify"/> 
    <display value="De-Identify (Anononymize) Record Lifecycle Event"/> 
    <definition value="Occurs 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."/> 
  </concept> 
  <concept> 
    <code value="deprecate"/> 
    <display value="Deprecate Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to tag record entry(ies) as obsolete, erroneous
     or untrustworthy, to warn against its future use."/> 
  </concept> 
  <concept> 
    <code value="destroy"/> 
    <display value="Destroy/Delete Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to permanently erase record entry content from
     the system."/> 
  </concept> 
  <concept> 
    <code value="disclose"/> 
    <display value="Disclose Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to release, transfer, provision access to, or otherwise
     divulge record entry content."/> 
  </concept> 
  <concept> 
    <code value="encrypt"/> 
    <display value="Encrypt Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to encode record entry content in a cipher."/> 
  </concept> 
  <concept> 
    <code value="extract"/> 
    <display value="Extract Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to selectively pull out a subset of record entry
     content, based on explicit criteria."/> 
  </concept> 
  <concept> 
    <code value="link"/> 
    <display value="Link Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to connect related record entries."/> 
  </concept> 
  <concept> 
    <code value="merge"/> 
    <display value="Merge Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to combine or join content from two or more record
     entries, resulting in a single logical record entry."/> 
  </concept> 
  <concept> 
    <code value="originate"/> 
    <display value="Originate/Retain Record Lifecycle Event"/> 
    <definition value="Occurs 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."/> 
  </concept> 
  <concept> 
    <code value="pseudonymize"/> 
    <display value="Pseudonymize Record Lifecycle Event"/> 
    <definition value="Occurs 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."/> 
  </concept> 
  <concept> 
    <code value="reactivate"/> 
    <display value="Re-activate Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to recreate or restore full status to record entries
     previously deleted or deprecated."/> 
  </concept> 
  <concept> 
    <code value="receive"/> 
    <display value="Receive/Retain Record Lifecycle Event"/> 
    <definition value="Occurs 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."/> 
  </concept> 
  <concept> 
    <code value="reidentify"/> 
    <display value="Re-identify Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to restore information to data that allows identification
     of information source and/or information subject."/> 
  </concept> 
  <concept> 
    <code value="unhold"/> 
    <display value="Remove Legal Hold Record Lifecycle Event"/> 
    <definition value="Occurs 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”."/> 
  </concept> 
  <concept> 
    <code value="report"/> 
    <display value="Report (Output) Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to produce and deliver record entry content in
     a particular form and manner."/> 
  </concept> 
  <concept> 
    <code value="restore"/> 
    <display value="Restore Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to recreate record entries and their content from
     a previous created archive artefact."/> 
  </concept> 
  <concept> 
    <code value="transform"/> 
    <display value="Transform/Translate Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to change the form, language or code system used
     to represent record entry content."/> 
  </concept> 
  <concept> 
    <code value="transmit"/> 
    <display value="Transmit Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to send record entry content from one (EHR/PHR/other)
     system to another."/> 
  </concept> 
  <concept> 
    <code value="unlink"/> 
    <display value="Unlink Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to disconnect two or more record entries previously
     connected, rendering them separate (disconnected) again."/> 
  </concept> 
  <concept> 
    <code value="unmerge"/> 
    <display value="Unmerge Record Lifecycle Event"/> 
    <definition value="Occurs when an agent causes the system to reverse a previous record entry merge operation,
     rendering them separate again."/> 
  </concept> 
  <concept> 
    <code value="verify"/> 
    <display value="Verify Record Lifecycle Event"/> 
    <definition value="Occurs 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."/> 
  </concept> 
</CodeSystem> 

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.