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

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Requirements: RI.1.1.25.1 Evidence of Record Entry Verification Event (Function)

Active as of 2024-11-23
Statement N:

Maintain Evidence of Record Entry Verification Event

 Description I:

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

 Criteria N:
RI.1.1.25.1#01 SHALL

The system SHALL audit each occurrence of Record Entry verification.
RI.1.1.25.1#02 SHALL

The system SHALL capture identity of the organization where Record Entry content verification occurred.
RI.1.1.25.1#03 SHALL

The system SHALL capture identity of the patient who is subject of verified Record Entry content.
RI.1.1.25.1#04 SHALL

The system SHALL capture identity of the user verifying Record Entry content
RI.1.1.25.1#05 SHALL

The system SHALL capture identity of the system application in which Record Entry content verification occurred.
RI.1.1.25.1#06 SHALL

The system SHALL capture the type of Record Event trigger (i.e., verification event).
RI.1.1.25.1#07 SHALL

The system SHALL capture the date and time of Record Entry content verification.
RI.1.1.25.1#08 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content verification occurred.
RI.1.1.25.1#09 SHALL

The system SHALL capture the data, document or other identifier for verified Record Entry content.