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Req-249: Health Record Output
Release Package: 2013 Format


Release Package:

2013 Format

Requirement ID:

Req-249

Title:

Health Record Output

Description:

STATEMENT: Support the definition of the formal health record, a partial record for referral purposes, or sets of records for other necessary disclosure purposes.
DESCRIPTION: Provide hardcopy and electronic output that fully chronicles the healthcare process, supports selection of specific sections of the health record, and allows healthcare organizations to define the report and/or documents that will comprise the formal health record for disclosure purposes. A mechanism should be provided for both chronological and specified record element output. This may include defined reporting groups (i.e. print sets). For example: Print Set A = Patient Demographics, History & Physical, Consultation Reports, and Discharge Summaries. Print Set B = all information created by one caregiver. Print Set C = all information from a specified encounter. An auditable record of these requests and associated exports may be maintained by the system. This record could be implemented in any way that would allow the who, what, why and when of a request and export to be recoverable for review. The system has the capability of providing a report or accounting of disclosures by patient that meets in accordance with scope of practice, organizational policy and jurisdictional law.

Related Requirements:

Relationship Release Package Requirement ID Requirement Title Requirement Type SHALL / SHOULD / MAY Compare Requirements
Req-249 Is Child Of 2013 Format Req-250 Report Generation Header Not Applicable Compare
Req-249 Is Related To 2013 Format Req-253 Manage Allergy, Intolerance and Adverse Reaction List Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-254 Manage Assessments Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-259 Manage Medication List Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-263 Manage Problem List Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-264 Manage Results Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-267 Produce a Summary Record of Care Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-268 Manage Patient History Function Not Applicable Compare
Req-249 Is Related To Req-270 Support for Context-Sensitive Care Plans, Guidelines, Protocols Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-286 Summary Lists Header Not Applicable Compare
Req-249 Is Related To 2013 Format Req-573 Entity Authorization. Function Not Applicable Compare
Req-249 Is Needed By 2013 Format Req-635 Define formal health records Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-670 Custom patient record reports Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-671 Define formal health record Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-672 Flexible record element order in reports Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-673 Report summaries: hard copy and electronic Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-674 Patient indicators on reports Normative Statements SHALL Compare
Req-249 Is Parent Of 2013 Format Req-675 Customize reports to mandated formats Normative Statements SHALL Compare
Req-249 Is Related To 2013 Format Req-679 Identify and Maintain a Patient Record Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-715 Standard Terminologies and Terminology Models Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-719 Interchange Agreements Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-740 Manage Medication Orders Function Not Applicable Compare
Req-249 Is Related To Req-766 Manage Unstructured Health Record Information Function Not Applicable Compare
Req-249 Is Related To 2013 Format Req-767 Manage Structured Health Record Information Function Not Applicable Compare
Req-249 Is Related To Req-770 Terminology Mapping Not Applicable Compare
Req-249 Is Related To Req-771 Interchange Standards Not Applicable Compare
Req-249 Is Related To Req-773 Business Rules Management Function Not Applicable Compare

Provenance:

HL7 EHR FM R1

Achievability:

Requirement Type:

Function

Shall/Should/May:

Critical/Core:

No

Status:

Released

Links:

Not Provided

See Also:

DC.1.1.4, DC.1.4, IN.1.2, IN.2.5.1, IN.2.5.2, IN.4.1, IN.4.3, IN.5.1, IN.5.4, IN.6

Comments:

Not Provided

Additional Information:

Not Provided

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Last Updated 04/13/2016
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