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1. Recognizing equivalence between different standards that are representing the same clinical data (HRO Sensitivity to Operations)

2. Representing clinically significant concepts that are needed in a systems of record, such as an EHR, unambiguously (HRO Preoccupation with Failure)

3. Preventing the inclusion and/or perpetuation of errors in clinical data represented within a systems of record (HRO Commitment to Resilience)

4. Ensuring the safe and reliable evolution of terminology standards, solutions, and processes as new technologies and policies are implemented (HRO Commitment to Resilience)

Impact on Strategies

• Ties to the requirement or need from the implementation committee for a unique fingerprint

References

1. Enabling Highly Reliable Data Governance at the U.S. Department of Veterans Affairs (VA) Keith E. Campbell, MD, PhD Director of Informatics Architecture VHA OHI CIDMO KBS

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