EHRS-FM IG

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

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Requirements: RI.1.1.16.1 Evidence of Record Entry Destruction Event (Function)

Active as of 2024-08-12
Statement N:

Maintain Evidence of Record Entry Destruction Event

Description I:

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

Criteria N:
RI.1.1.16.1#01 dependent SHALL

The system SHALL audit each occurrence when Record Entry content is destroyed according to scope of practice, organizational policy, and/or jurisdictional law.

RI.1.1.16.1#02 SHALL

The system SHALL capture identity of the organization where Record Entry content is destroyed.

RI.1.1.16.1#03 SHALL

The system SHALL capture identity of the patient who is subject of destroyed Record Entry content.

RI.1.1.16.1#04 SHALL

The system SHALL capture a destruction identifier for destroyed Record Entry content (e.g., nursing home inpatient stay from 3/15/2000 thru 6/10/2000).

RI.1.1.16.1#05 SHALL

The system SHALL capture identity of the user destroying Record Entry content.

RI.1.1.16.1#06 SHALL

The system SHALL capture identity of the system application which destroyed Record Entry content.

RI.1.1.16.1#07 SHALL

The system SHALL capture the type of Record Event trigger (i.e., destroy).

RI.1.1.16.1#08 SHALL

The system SHALL capture the date and time Record Entry content is destroyed.

RI.1.1.16.1#09 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is destroyed.

RI.1.1.16.1#10 MAY

The system MAY capture the rationale for destroying Record Entry content.

RI.1.1.16.1#11 MAY

The system MAY capture the data, document or other identifier for destroyed Record Entry content.

RI.1.1.16.1#12 MAY

The system MAY capture data elements for Record Entry content de-identified.