ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - CI Build

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Requirements: CP.5.1 Manage Results of Diagnostic Tests (Function)

Active as of 2024-11-23
Statement N:

Enable the receipt and display of results for diagnostics tests.

Description I:

Diagnostic test results are received and should be stored and displayed while linked to the original order in the system.

Criteria N:
CP.5.1#01 SHOULD

The system SHOULD provide the ability to capture, maintain and render diagnostic results, including preliminary as well as final results.

CP.5.1#02 SHOULD

The system SHOULD provide the ability to capture, maintain and render microorganism information/descriptions from laboratory results as free-text.

CP.5.1#03 dependent SHOULD

The system SHOULD provide the ability to capture, maintain and render microbiology laboratory results (with sensitivity testing) using standard coding methodology according to scope of practice, organizational policy, and/or jurisdictional law.

CP.5.1#04 SHOULD

The system SHOULD provide the ability to capture, maintain and render laboratory results that identify new and emerging laboratory procedures (e.g., processes that examine emerging organisms, new processes that examine existing organisms).

CP.5.1#05 SHALL

The system SHALL provide the ability to capture, maintain and render discrete diagnostic results received through an electronic interface.

CP.5.1#06 SHALL

The system SHALL provide the ability to render indicators of normal and abnormal diagnostic results based on information provided from the original source (e.g., from a laboratory or radiology department).