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Military EHR safety principles

This explanatory page groups the project’s Defence design principles. The canonical, machine-readable control statements are the Defence requirements register, and their designed verification scenarios are the assurance test catalogue.

The translation chain is:

Observed civilian mechanism → safety barrier → candidate Defence requirement → representative assurance test

The principles are analytical translations. They are not coronial recommendations, accepted Programme CORTISONE requirements, or evidence that a current Defence system lacks a control.

Principle Canonical requirements Representative assurance
Make identity, location, registration and care responsibility independently visible REQ-001 AST-001
Keep safety-search populations complete and explainable REQ-002 AST-002
Disclose record-source completeness across boundaries REQ-003 AST-003
Convert critical results into owned, time-bounded clinical work REQ-004 AST-004
Make messages, referrals and tasks auditable from entry to closure REQ-005 AST-005
Deliver transfer records into the receiving workflow and longitudinal record REQ-006 AST-006
Preserve authority and ownership during hybrid paper–digital work REQ-007 AST-007
Preserve provenance across live, printed, exported and investigation views REQ-008 AST-008
Make decision support proportionate, actionable and owned REQ-009 AST-009
Treat existing safety barriers as migration requirements REQ-010 AST-010
Make multi-endpoint transaction state observable and reconcilable REQ-011 AST-011
Preserve a safe minimum function and controlled recovery when degraded REQ-012 AST-012
Govern minimum necessary information across clinical–operational boundaries REQ-013 AST-013

Human-factors rule

Do not classify the source cases as “user error”. Assurance must test the coupled system: interface, workload, staffing, policy, training, workarounds, interoperability, governance and fallback. A control that works only when every user remembers an invisible dependency is not a strong safety barrier.

Validation boundary

None of the candidate requirements is yet validated as a Defence programme requirement, and none of the assurance scenarios has been executed. Read the transferability assessment and DMICP evidence gaps before applying them.