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Children's EHR Format Requirement Comparison

(No Match) Requirement ID: Req-560: Capture Patient-Originated Data Req-1096: Distinguish patient sourced data
(Matches) Release Package: 2013 Format 2013 Format
(No Match) Title: Capture Patient-Originated Data Distinguish patient sourced data
(No Match) Description: STATEMENT: Capture and explicitly label patient originated data, link the data source with the data, and support provider authentication for inclusion in patient health record.
DESCRIPTION: It is critically important to be able to distinguish patient-originated data that is either provided or entered by a patient from clinically authenticated data. Patients may provide data for entry into the health record or be given a mechanism for entering this data directly. Patient-originated data intended for use by providers will be available for their use.
Data about the patient may be appropriately provided by:
1. the patient
2. a surrogate (parent, spouse, guardian) or
3. an informant (teacher, lawyer, case worker).
An electronic health record may provide the ability for direct data entry by any of these.
Patient-originated data may also be captured by devices and transmitted for inclusion into the electronic health record.
Data entered by any of these must be stored with source information. A provider must authenticate patient-originated data included in the patient's legal health record.
The system SHALL clearly distinguish patient sourced/entered data from data received from a clinical system.
(Matches) Topic Area(s): Patient Portals - PHR Patient Portals - PHR
(No Match) Provenance: HL7 EHR FM R1 SME
(No Match) Achievability: High
(No Match) Requirement Type: Function Normative Statements
(No Match) Shall/Should/May: SHALL
(Matches) Critical/Core: no no
(Matches) Status: Released Released
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(Matches) Comments:
(Matches) Additional Information:
(Matches) Implementation Notes:
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