ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
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Active as of 2024-11-26 |
Capture and explicitly label patient health data derived from administrative or financial data; and link the data source with that data.
It is critically important to be able to distinguish patient health data derived from administrative or financial data from clinically authenticated data.
CPS.2.6#01 | SHALL |
The system SHALL provide the ability to capture, store and render patient health data derived from administrative or financial data and tag it as such. |
CPS.2.6#02 | SHOULD |
The system SHOULD provide the ability to capture, store, and render, the source of patient health data derived from administrative and financial data. |
CPS.2.6#03 | SHOULD |
The system SHOULD provide the ability to annotate patient health information derived from administrative or financial data (e.g., by providing text-based comments, attaching a picture of an injury, or attaching an image of a supporting document). |