HL7 RIM References

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HL7 RIM References

The following diagram is an extract from HL7 RIM reference documentation and illustrates how HL7 defines "healthcare trigger events" and it illustrates the life cycle of a typical healthcare object (e.g. Act).

States of Act (also specified using the ActStatus coding system):

• aborted (sub-state of normal): The Act has been terminated prior to the originally intended completion.
• active (sub-state of normal): The Act can be performed or is being performed.
• canceled (sub-state of normal): The Act has been abandoned before activation.
• completed (sub-state of normal): An Act that has terminated normally after all of its constituents have been performed.
• held (sub-state of normal): An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.
• new (sub-state of normal): An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released.
• normal: Encompasses the expected states of a service object, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.
• nullified: This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.
• obsolete: This Act instance has been replaced by a new instance.
• suspended (sub-state of normal): Active service object is temporarily suspended.

State transitions of Act:

• abort (from active to aborted)
• revise (from active to active)
• complete (from active to completed)
• suspend (from active to suspended)
• reactivate (from completed to active)
• revise (from completed to completed)
• cancel (from held to canceled)
• revise (from held to held)
• release (from held to new)
• activate (from new to active)
• cancel (from new to canceled)
• complete (from new to completed)
• hold (from new to held)
• revise (from new to new)
• nullify (from normal to nullified)
• obsolete (from normal to obsolete)
• activate (from null to active)
• complete (from null to completed)
• create (from null to new)
• jump (from null to normal)
• abort (from suspended to aborted)
• resume (from suspended to active)
• complete (from suspended to completed)
• revise (from suspended to suspended)