ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local International flag

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Requirements: RI.1.1.23.1 Evidence of Record Entry Legal Hold Event (Function)

Active as of 2024-11-26
Statement N:

Maintain Evidence of Record Entry Legal Hold Event

Description I:

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

Criteria N:
RI.1.1.23.1#01 SHOULD

The system SHOULD audit each occurrence when a set of Record Entries are placed on legal hold.

RI.1.1.23.1#02 SHOULD

The system SHOULD capture identity of the organization where Record Entries are placed on legal hold.

RI.1.1.23.1#03 SHOULD

The system SHOULD capture identity of the patient who is subject of Record Entries placed on legal hold.

RI.1.1.23.1#04 SHOULD

The system SHOULD capture the identifier for the set of Record Entries placed on legal hold.

RI.1.1.23.1#05 SHOULD

The system SHOULD capture identity of the user placing Record Entries on legal hold.

RI.1.1.23.1#06 SHOULD

The system SHOULD capture identity of the system application which placed Record Entries on legal hold.

RI.1.1.23.1#07 SHOULD

The system SHOULD capture the type of Record Event trigger (i.e., placed on legal hold).

RI.1.1.23.1#08 SHOULD

The system SHOULD capture the date and time Record Entries are placed on legal hold.

RI.1.1.23.1#09 SHOULD

The system SHOULD capture identity of the location (i.e., network address) from which Record Entries are placed on legal hold.

RI.1.1.23.1#10 MAY

The system MAY capture identity of the location (i.e., network address) in which Record Entries on legal hold are placed.

RI.1.1.23.1#11 MAY

The system MAY capture the rationale for placing Record Entries on legal hold.

RI.1.1.23.1#12 MAY

The system MAY capture the data, document or other identifier for Record Entries placed on legal hold.