Functional Requirements for Data Integrity in EHR Systems

This technical report outlines the functional requirements for data integrity concerning data sources and receivers within Electronic Health Record (EHR) systems. It establishes conformance criteria aimed at supporting clinical integrity and patient safety, ensuring that EHR entries are reliable at each decision-making point. The document details the necessity for evidence of truth and trust, emphasizing the importance of traceability and verification of data content. It specifies the roles and responsibilities of both the source and receiving systems, including requirements for capturing and maintaining metadata related to data composition, authorship, verification, and provenance. The report also discusses the need for contextual information to be rendered alongside data content, ensuring completeness and accuracy. Additionally, it addresses the auditing processes required for data mapping and transformation, ensuring that all instances of data handling are documented and accessible to authorized users.