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Children's EHR Format Requirement Comparison

(No Match) Requirement ID: Req-104: Data and Documentation From External Sources Req-560: Capture Patient-Originated Data
(Matches) Release Package: 2013 Format 2013 Format
(No Match) Title: Data and Documentation From External Sources Capture Patient-Originated Data
(No Match) Description: External sources are those outside the EHR system, including clinical, administrative, and financial information systems, other EHR systems, PHR systems, and data received through health information exchange networks. 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.
(No Match) Topic Area(s): Birth Information, Parents and Guardians and Family Relationship Data, Patient Portals - PHR Patient Portals - PHR
(Matches) Provenance: HL7 EHR FM R1 HL7 EHR FM R1
(Matches) Achievability:
(No Match) Requirement Type: Header Function
(Matches) Shall/Should/May:
(Matches) Critical/Core: no no
(Matches) Status: Released Released
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(Matches) Additional Information:
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