Document Management - Standard

ID

S9

Version

1.0.1

Type

Capability Specific Standard

Status

Effective

Effective Date

 


Requirements

Epic MappingRequirement IDRequirement TextLevel
C9E15GP-DM-4.1-03

Document capture/receipt - Electronic formats

Automatically handle electronic documents of varying format into the Solution from pre-defined areas/methods for processing and conversion to industry standard formats e.g. TIF or PDF/A (an ISO Standard archival document format) for publishing.

MUST
C9E15DOCMAN01

Documents available in non-proprietary formats

Documents are to be made available in a timely manner, in non-proprietary formats in adherence with GP2GP (see requirement S50 in GP2GP R2.2 Requirements Specification). Proprietary formats should be converted as required.

Supplier to ensure that the integrity of documents processed by the Solution when transferred as part of GP2GP (either as a complete document or as a link) can be preserved at the receiving practice with context intact.  The documents can therefore be viewed within the appropriate part of the patient record with any mark ups and annotations intact.

MUST
C9E16GP-DM-6-01

Access Patient Record

Access a Patient Record where a Patient has been successfully identified, linked, listed or otherwise presented to the user.

MUST
C9E1GP-DM-7-01

Document classification

Manually classify documents using:

  • Correspondence Care Setting Type
  • Correspondence Document Type
  • Clinical/non-clinical flag/status
MUST
C9E2GP-DM-7-02

Document Properties

Manually record and update document properties for:

  • Header file
  • Document metadata
MUST
C9E3GP-DM-7-03

Document Attributes

Manually record and update document attributes such as:

  • Document type
  • Category
  • Source
MUST
C9E4GP-DM-7-04

Coded Entries

Manually code clinical entries and store in the Patient's record by:

  • Coding from a review of a document
  • Recording values associated with a code

For further information, see SNOMED CT

MUST


Capability

Applicable Capability

All supplier Solutions will need to meet this Standard if they are delivering the Document Management Capability


Roadmap

Items on the Roadmap which impact or relate to this Standard

Suppliers will not be assessed or assured on these Roadmap Items as part of Onboarding