This
page
is
part
of
the
FHIR
Specification
(v3.0.2:
STU
3).
(v3.3.0:
R4
Ballot
2).
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
Vocabulary
Work
Group
|
Maturity Level : N/A | External | Use Context : Any |
This value set (http://hl7.org/fhir/ValueSet/v3-ActClassClinicalDocument) is defined as part of HL7 v3. Related FHIR content: ActClassClinicalDocument .
Summary
| Defining URL: | http://hl7.org/fhir/ValueSet/v3-ActClassClinicalDocument |
| Name: | ActClassClinicalDocument |
| Definition: |
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
|
| OID: | 2.16.840.1.113883.1.11.13948 (for OID based terminology systems) |
| Source Resource | XML / JSON |
This value set is not currently used
This value set includes codes from the following code systems:
http://hl7.org/fhir/v3/ActClass
where
concept
is-a
DOCCLIN
This
expansion
generated
19
03
Apr
2017
2018
This value set contains 2 concepts
Expansion
based
on
http://hl7.org/fhir/v3/ActClass
version
2016-11-11
2018-04-01
All
codes
from
system
http://hl7.org/fhir/v3/ActClass
| Lvl | Code | Display | Definition |
| 0 | DOCCLIN | clinical document | A clinical document is a documentation of clinical observations and services, with the following characteristics: Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; Stewardship - A clinical document is maintained by a person or organization entrusted with its care; Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; 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; Human readability - A clinical document is human readable. |
| 1 | CDALVLONE | CDA Level One clinical document | A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA) |