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

Vocabulary

Work Group

Maturity Level: 0

Informative

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 Resource

XML / 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.)

4.3.14.27.1 Content

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

Code	Display	Definition
access	Access/View Record Lifecycle Event	Occurs when an agent causes the system to obtain and open a record entry for inspection or review.
hold	Add Legal Hold Record Lifecycle Event	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”.
amend	Amend (Update) Record Lifecycle Event	Occurs when an agent makes any change to record entry content currently residing in storage considered permanent (persistent).
archive	Archive Record Lifecycle Event	Occurs 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 Event	Occurs 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 Event	Occurs when an agent causes the system to decode record entry content from a cipher.
deidentify	De-Identify (Anononymize) Record Lifecycle Event	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.
deprecate	Deprecate Record Lifecycle Event	Occurs 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 Event	Occurs when an agent causes the system to permanently erase record entry content from the system.
disclose	Disclose Record Lifecycle Event	Occurs when an agent causes the system to release, transfer, provision access to, or otherwise divulge record entry content.
encrypt	Encrypt Record Lifecycle Event	Occurs when an agent causes the system to encode record entry content in a cipher.
extract	Extract Record Lifecycle Event	Occurs when an agent causes the system to selectively pull out a subset of record entry content, based on explicit criteria.
link	Link Record Lifecycle Event	Occurs when an agent causes the system to connect related record entries.
merge	Merge Record Lifecycle Event	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.
originate	Originate/Retain Record Lifecycle Event	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.
pseudonymize	Pseudonymize Record Lifecycle Event	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.
reactivate	Re-activate Record Lifecycle Event	Occurs when an agent causes the system to recreate or restore full status to record entries previously deleted or deprecated.
receive	Receive/Retain Record Lifecycle Event	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.
reidentify	Re-identify Record Lifecycle Event	Occurs 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 Event	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”.
report	Report (Output) Record Lifecycle Event	Occurs when an agent causes the system to produce and deliver record entry content in a particular form and manner.
restore	Restore Record Lifecycle Event	Occurs when an agent causes the system to recreate record entries and their content from a previous created archive artefact.
transform	Transform/Translate Record Lifecycle Event	Occurs when an agent causes the system to change the form, language or code system used to represent record entry content.
transmit	Transmit Record Lifecycle Event	Occurs when an agent causes the system to send record entry content from one (EHR/PHR/other) system to another.
unlink	Unlink Record Lifecycle Event	Occurs when an agent causes the system to disconnect two or more record entries previously connected, rendering them separate (disconnected) again.
unmerge	Unmerge Record Lifecycle Event	Occurs when an agent causes the system to reverse a previous record entry merge operation, rendering them separate again.
verify	Verify Record Lifecycle Event	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.

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

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. See Code System for further information.

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance). If the code is in italics, this indicates that the code is not selectable ('Abstract')

Display

The 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

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code