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

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Requirements: RI.1.2.2 Manage Record Entries for Legal Hold (Function)

Active as of 2024-11-26
Statement N:

Manage/Preserve Record Entries for Legal Hold (Multiple instances)

Description I:

Occurs when a set of Record Entries is designated to be held for legal purposes or proceedings.

  • Ensures preservation of a set of Record Entries for a designated time, held without alteration.
Criteria N:
RI.1.2.2#01 SHALL

The system SHALL conform to function [[RI.1.1.23]] (Place Record Entries on Legal Hold).

RI.1.2.2#02 SHALL

The system SHALL conform to function [[RI.1.1.24]] (Release Record Entries from Legal Hold).

RI.1.2.2#03 SHALL

The system SHALL provide the ability to control access to data/records during legal hold, preventing un-auditable alteration or unauthorized use for preservation purposes.

RI.1.2.2#04 dependent SHALL

The system SHALL provide the ability to maintain records beyond normal retention period according to scope of practice, organizational policy, and/or jurisdictional law.

RI.1.2.2#05 SHOULD

The system SHOULD provide the ability to capture the reason for preserving records beyond the normal retention period.

RI.1.2.2#06 SHOULD

The system SHOULD provide the ability to render a legal hold notice identifying who to contact for questions when a user attempts to alter a record on legal hold.

RI.1.2.2#07 MAY

The system MAY provide the ability to render Record Entry content preserved for a legal hold by type, class or encounter (e.g., medical Record Entry or report, e-mail, metadata, etc.), conforming to function [[RI.1.1.13]] (Extract Record Entry Content).