ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - CI Build
ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - CI Build
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| Active as of 2024-11-23 |
Maintain Evidence of Record Entry Attestation Event
Evidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
| RI.1.1.4.1#01 | SHALL |
The system SHALL audit each occurrence of Record Entry attestation (signature event). |
| RI.1.1.4.1#02 | SHALL |
The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred. |
| RI.1.1.4.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of attested Record Entry content. |
| RI.1.1.4.1#04 | SHALL |
The system SHALL capture identity of the user attesting to Record Entry content (signature event). |
| RI.1.1.4.1#05 | SHALL |
The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred. |
| RI.1.1.4.1#06 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event). |
| RI.1.1.4.1#07 | SHALL |
The system SHALL capture the date and time of Record Entry content attestation (signature event). |
| RI.1.1.4.1#08 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred. |
| RI.1.1.4.1#09 | SHALL |
The system SHALL capture the data, document or other identifier for attested Record Entry content. |