ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
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 |
Maintain Evidence of Record Entry Extraction Event
Evidence of Record Entry Extraction Events includes key metadata, ensures health record integrity (and trust) and enables record audit.
| RI.1.1.13.1#01 | SHALL |
The system SHALL audit each occurrence when Record Entry content is extracted. |
| RI.1.1.13.1#02 | SHALL |
The system SHALL capture identity of the organization where Record Entry content is extracted. |
| RI.1.1.13.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of extracted Record Entry content. |
| RI.1.1.13.1#04 | SHALL |
The system SHALL capture identity of the user extracting Record Entry content. |
| RI.1.1.13.1#05 | SHALL |
The system SHALL capture identity of the system application which extracted Record Entry content. |
| RI.1.1.13.1#06 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., extract). |
| RI.1.1.13.1#07 | SHALL |
The system SHALL capture the date and time Record Entry content is extracted. |
| RI.1.1.13.1#08 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is extracted. |
| RI.1.1.13.1#09 | MAY |
The system MAY capture the rationale for extracting Record Entry content. |