Completely positive maps can be characterized without involving external systems by means of the Stinespring factorization theorem, which reduces to Choi's theorem for the case of finite dimensional Hilbert spaces:
$ \Phi(a) = \sum_{i=1}^{mn}V_i^\dagger a V_i$.
Completely positive maps are considered to represent the most general quantum evolutions, however, Shaji and Sudarshan:
"ftp://79.110.128.93/books/physics,%20math/%D0%96%D1%83%D1%80%D0%BD%D0%B0%D0%BB%D1%8B/Phys%20Letters%20A/Volume%20341,%20Issues%201-4,%20pp.%201-356%20(20%20June%202005)/Anil%20Shaji,%20E.C.G.%20Sudarshan%20-%20Who's%20afraid%20of%20not%20completely%20positive%20maps%3F.pdf"
(Who’s afraid of not completely positive maps?) in Who’s afraid of not completely positive maps? gave arguments that they do not exhaust all physical evolution possibilities.