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

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Requirements: CP.9.1 Produce a Summary Record of Care (Function)

Active as of 2024-11-23
Statement N:

Render a summarized review of a patient's episodic, and/or comprehensive EHR, subject to jurisdictional laws and organizational policies related to privacy and confidentiality.

Description I:

Create summary views and reports at the conclusion of an episode of care. Create service reports at the completion of an episode of care such as, but not limited to, discharge summaries, specialist or consultation reports and public health reports, using information captured in the EHR and without additional input from clinicians.

Criteria N:
CP.9.1#01 SHALL

The system SHALL provide the ability to render summaries of the patient's comprehensive EHR that include at a minimum: problem list, medication list, allergy and adverse reaction list, and procedures.