HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1-ballot - Normative Ballot

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## Requirements: RI.1.1.23.1 Evidence of Record Entry Legal Hold Event (Function)

Page standards status: Informative

Statement N:

Maintain Evidence of Record Entry Legal Hold Event

Description I:

Evidence of Record Entry Legal Hold Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

Actors:
ehr Criteria N:

RI.1.1.23.1#01 | SHOULD | The system SHOULD audit each occurrence when a set of Record Entries are placed on legal hold.
RI.1.1.23.1#02 | SHOULD | The system SHOULD capture identity of the organization where Record Entries are placed on legal hold.
RI.1.1.23.1#03 | SHOULD | The system SHOULD capture identity of the patient who is subject of Record Entries placed on legal hold.
RI.1.1.23.1#04 | SHOULD | The system SHOULD capture the identifier for the set of Record Entries placed on legal hold.
RI.1.1.23.1#05 | SHOULD | The system SHOULD capture identity of the user placing Record Entries on legal hold.
RI.1.1.23.1#06 | SHOULD | The system SHOULD capture identity of the system application which placed Record Entries on legal hold.
RI.1.1.23.1#07 | SHOULD | The system SHOULD capture the type of Record Event trigger (i.e., placed on legal hold).
RI.1.1.23.1#08 | SHOULD | The system SHOULD capture the date and time Record Entries are placed on legal hold.
RI.1.1.23.1#09 | SHOULD | The system SHOULD capture identity of the location (i.e., network address) from which Record Entries are placed on legal hold.
RI.1.1.23.1#10 | MAY | The system MAY capture identity of the location (i.e., network address) in which Record Entries on legal hold are placed.
RI.1.1.23.1#11 | MAY | The system MAY capture the rationale for placing Record Entries on legal hold.
RI.1.1.23.1#12 | MAY | The system MAY capture the data, document or other identifier for Record Entries placed on legal hold.