History description 2014-03-26: Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26
description:
A clinical document is a documentation of clinical observations and services, with
the following characteristics: (1) Persistence - A clinical document continues to
exist in an unaltered state, for a time period defined by local and regulatory requirements;
(2) Stewardship - A clinical document is maintained by a person or organization entrusted
with its care; (3) Potential for authentication - A clinical document is an assemblage
of information that is intended to be legally authenticated; (4) Wholeness - Authentication
of a clinical document applies to the whole and does
not apply to portions of the document without the full context of the document; (5)
Human readability - A clinical document is human readable."
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