non-ratified care information
care information the relevance of which has not been assessed and explicitly stated as valid by a care professional
Note 1 to entry: Care information that has been received and is proposed for incorporation in a professional health record may not yet have been reviewed for validity or context by the care professional and as such its accuracy may remain arguable. In this respect, clinical ratification differs both from attesting information for the needs of an audit trail, or from committing information in the perspective of sending out messages containing care information outlined in EN ISO 13606-1:2008.
Note 2 to entry: Regardless of the technical process meant practically, care information cannot be 'inserted' into a professional health record unless ratified by a care professional Until a decision is made regarding their insertion or rejection, they are held in a secure temporary storage. An exception to this would be when a care professional would directly import care information from a sharable data repository into the local health record they hold. In the case where this import resulted from a request to the care actor in the custody of whom the sharable data repository is placed, that care information would then need validation.
Specialization of | Generalization of | ||||
---|---|---|---|---|---|
care information | |||||
Association from | Association name | Association to | |||
0..* | non-ratified care information | becomes | 0..* | care information for import | |
0..* | care third party activity | generates | 0..* | non-ratified care information | |
0..* | self-care | generates | 0..* | non-ratified care information | |
0..* | clinical report | is received as | 0..* | non-ratified care information | |
0..* | non-ratified care information | is recorded in | 0..* | health record | |
0..* | automated care | results in | 0..* | non-ratified care information |