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

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Requirements: RI.1.1.21.1 Evidence of Record Entry Link Event (Function)

Active as of 2024-11-23
Statement N:

Maintain Evidence of Record Entry Link Event

 Description I:

Evidence of Record Entry Link Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

 Criteria N:
RI.1.1.21.1#01 SHOULD

The system SHOULD audit each occurrence when Record Entries are linked to another entry/object (e.g., Record Entries in an external system).
RI.1.1.21.1#02 SHOULD

The system SHOULD capture identity of the organization where Record Entries are linked.
RI.1.1.21.1#03 SHOULD

The system SHOULD capture identity of the patient who is subject of linked Record Entries.
RI.1.1.21.1#04 SHOULD

The system SHOULD capture identity of the user linking Record Entries.
RI.1.1.21.1#05 SHOULD

The system SHOULD capture identity of the system application which linked Record Entries.
RI.1.1.21.1#06 SHOULD

The system SHOULD capture the type of Record Event trigger (i.e., link).
RI.1.1.21.1#07 SHOULD

The system SHOULD capture the date and time Record Entries are linked.
RI.1.1.21.1#08 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entries are linked.
RI.1.1.21.1#09 MAY

The system MAY capture the rationale for linking Record Entries.