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Definition for Code System ISO 21089-2017 Health Record Lifecycle Events
<?xml version="1.0" encoding="UTF-8"?> <CodeSystem xmlns="http://hl7.org/fhir"> <id value="iso-21089-lifecycle"/> <meta><lastUpdated value="2019-11-01T09:29:23.356+11:00"/> </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>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.<b> Copyright Statement:</b> </p><div> <p> 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> </div> <p> This code system http://terminology.hl7.org/CodeSystem/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>2<td style="white-space:nowrap">access <a name="iso-21089-lifecycle-access"> </a> </td>occurs when an agent makes any change to record entry content currently residing in storage considered permanent (persistent)<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>14<td style="white-space:nowrap">hold <a name="iso-21089-lifecycle-hold"> </a> </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> 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 preserveâ€�.</td> </tr> <tr>4<td style="white-space:nowrap">amend <a name="iso-21089-lifecycle-amend"> </a> </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> 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>27<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>10<td style="white-space:nowrap">attest <a name="iso-21089-lifecycle-attest"> </a> </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 may or may not be reversible<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>17<td style="white-space:nowrap">decrypt <a name="iso-21089-lifecycle-decrypt"> </a> </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> Decrypt Record Lifecycle Event</td> <td> Occurs when an agent causes the system to decode record entry content from a cipher.</td> </tr> <tr>16<td style="white-space:nowrap">deidentify <a name="iso-21089-lifecycle-deidentify"> </a> </td>occurs when an agent causes the system to permanently erase record entry content from the system<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>7<td style="white-space:nowrap">deprecate <a name="iso-21089-lifecycle-deprecate"> </a> </td>occurs when an agent causes the system to release, transfer, provision access to, or otherwise divulge record entry content<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>26<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>13<td style="white-space:nowrap">disclose <a name="iso-21089-lifecycle-disclose"> </a> </td>occurs when an agent causes the system to selectively pull out a subset of record entry content, based on explicit criteria<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>21<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>19<td style="white-space:nowrap">extract <a name="iso-21089-lifecycle-extract"> </a> </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> 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>1<td style="white-space:nowrap">link <a name="iso-21089-lifecycle-link"> </a> </td>occurs when an agent causes the system to: a) initiate capture of potential record content,<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 healthrecordrecord.</td> </tr> <tr>11<td style="white-space:nowrap">pseudonymize <a name="iso-21089-lifecycle-pseudonymize"> </a> </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> 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>18<td style="white-space:nowrap">reactivate <a name="iso-21089-lifecycle-reactivate"> </a> </td>occurs when an agent causes the system to recreate or restore full status to record entries previously deleted or deprecated<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>9<td style="white-space:nowrap">receive <a name="iso-21089-lifecycle-receive"> </a> </td>occurs when an agent causes the system to: a) initiate capture of data content from elseware,<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 healthrecordrecord.</td> </tr> <tr>6<td style="white-space:nowrap">reidentify <a name="iso-21089-lifecycle-reidentify"> </a> </td>occurs when an agent causes the system to produce and deliver record entry content in a particular form and manner<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>12<td style="white-space:nowrap">unhold <a name="iso-21089-lifecycle-unhold"> </a> </td>occurs when an agent causes the system to restore information to data that allows identification of information source and/or information subject<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 preserveâ€�.</td> </tr> <tr>24<td style="white-space:nowrap">report <a name="iso-21089-lifecycle-report"> </a> </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 preserveâ€<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>15<td style="white-space:nowrap">restore <a name="iso-21089-lifecycle-restore"> </a> </td>occurs when an agent causes the system to recreate record entries and their content from a previous created archive artifact<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>3<td style="white-space:nowrap">transform <a name="iso-21089-lifecycle-transform"> </a> </td>occurs when an agent causes the system to change the form, language or code system used to represent record entry content<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>8<td style="white-space:nowrap">transmit <a name="iso-21089-lifecycle-transmit"> </a> </td>occurs when an agent causes the system to send record entry content from one (EHR/PHR/other) system to another<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>22<td style="white-space:nowrap">unlink <a name="iso-21089-lifecycle-unlink"> </a> </td>occurs when an agent causes the system to disconnect two or more record entries previously connected, rendering them separate (disconnected) again<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>20<td style="white-space:nowrap">unmerge <a name="iso-21089-lifecycle-unmerge"> </a> </td>occurs when an agent causes the system to reverse a previous record entry merge operation, rendering them separate again<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>25<td style="white-space:nowrap">verify <a name="iso-21089-lifecycle-verify"> </a> </td>occurs when an agent causes the system to confirm compliance of data or data objects with<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 organizationalpolicypolicy.</td> </tr> </table> </div> </text><url value="http://terminology.hl7.org/CodeSystem/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>occurs when an agent makes any change to record entry content currently residing in storage considered permanent (persistent)<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>occurs when an agent causes the system to create and move archive artifacts containing record entry content, typically to long-term offline storage<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 preserveâ€�."/> </concept> <concept>occurs when an agent causes the system to capture the agent’s digital signature (or equivalent indication) during formal validation of record entry content<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>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 may or may not be reversible<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>occurs when an agent causes the system to tag record entry(ies) as obsolete, erroneous or untrustworthy, to warn against its future use<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>occurs when an agent causes the system to permanently erase record entry content from the system<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>occurs when an agent causes the system to release, transfer, provision access to, or otherwise divulge record entry content<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>occurs when an agent causes the system to selectively pull out a subset of record entry content, based on explicit criteria<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>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<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>occurs when an agent causes the system to: a) initiate capture of potential record content,<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 healthrecordrecord."/> </concept> <concept>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<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>occurs when an agent causes the system to recreate or restore full status to record entries previously deleted or deprecated<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>occurs when an agent causes the system to: a) initiate capture of data content from elseware,<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 healthrecordrecord."/> </concept> <concept>occurs when an agent causes the system to produce and deliver record entry content in a particular form and manner<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>occurs when an agent causes the system to restore information to data that allows identification of information source and/or information subject<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 preserveâ€�."/> </concept> <concept>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 preserveâ€<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>occurs when an agent causes the system to recreate record entries and their content from a previous created archive artifact<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>occurs when an agent causes the system to change the form, language or code system used to represent record entry content<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>occurs when an agent causes the system to send record entry content from one (EHR/PHR/other) system to another<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>occurs when an agent causes the system to disconnect two or more record entries previously connected, rendering them separate (disconnected) again<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>occurs when an agent causes the system to reverse a previous record entry merge operation, rendering them separate again<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>occurs when an agent causes the system to confirm compliance of data or data objects with<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 organizationalpolicypolicy."/> </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.