Task #86771
openER/OP/In Patient > Lock patient records on-demand
Added by Kamini Kumar over 1 year ago. Updated 4 months ago.
Description
1. The system shall support the ability to lock patient records on-demand in specific cases such as VIP status, sensitive diagnoses (e.g., psychiatric conditions or OSCC), or other confidentiality-sensitive situations.
2. When a record is locked, access should be restricted exclusively to the designated care team responsible for the patient's treatment.
3. Only authorized users explicitly assigned based on role or clearance level should have access to these records during the locked state.
4. This functionality must ensure audit trails and strict adherence to privacy and security compliance standards.
Files
Updated by Shubham Ray about 1 year ago
- Assignee changed from Shubham Ray to Jineesh M Joy
Updated by Daniyal Ansari 11 months ago
- Assignee changed from Jineesh M Joy to Daniyal Ansari
Updated by Daniyal Ansari 11 months ago
- Assignee changed from Daniyal Ansari to Mehdi Mehdi
Updated by Sarfrazul Haque 11 months ago
- Target version set to HUMS Release Ver 1
Updated by Mehdi Mehdi 11 months ago
- Dev Due date changed from 20/12/2025 to 27/12/2025
Updated by Mehdi Mehdi 11 months ago
- Assignee changed from Mehdi Mehdi to Rasoul Nayeb
Updated by Kamini Kumar 11 months ago · Edited
Requirements:
1. Lock Trigger Points:
At Registration: Option to mark patient record as “Sensitive / Lock” at the time of registration.
EMR: Authorized clinicians or staff can lock/unlock records on-demand.
2. Locked records should restrict access to:
Clinical notes - HPI, Examination notes, Nursing notes, Progress notes , Diagnosis, Discharge Summary
-Orders (Lab, Radiology, Pharmacy)
-Billing information
-Attachments or documents
Access should only be available to:
-Treating doctors
-Assigned care team
-Users with explicit override permissions
3. Every lock/unlock action must be logged with:
-User ID
-Timestamp
-Reason for lock/unlock
User Roles & Permissions:
-Define roles with the ability to lock/unlock records:
-Registration staff (limited ability, e.g., mark VIP or sensitive)
-Doctors / Consultants
-Admin (full override)
System Behavior:
When a record is locked,
-Unauthorized users attempting to access the record see a “Record Locked – Access Restricted” message.
-System should allow viewing non-sensitive demographics if needed for workflow continuity.
-Unlocking should follow a strict approval or role-based policy.
Updated by Mehdi Mehdi 11 months ago
- Assignee changed from Rasoul Nayeb to Amirali Mahjour
Updated by Anis Yusof 10 months ago · Edited
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Please find the observation below:
Based on the discussion with Dev team, 'Privacy' option is added for HPI, Examination Notes, Nursing Notes, Progress Notes , Diagnosis in OP/IP/ER
Below are the issues found during testing for the 'Privacy' function in OP/IP/ER which FAIL the tickets:
1. OP/IP > HPI > Privacy = Visible to Doctors - When a doctor saved the HPI with Privacy = Visible to Doctors, the notes saved is only visible to the doctor who saved the HPI but other doctor is not able to see the notes. Supposedly all doctors are able to see the saved notes
2. OP/ER > Nursing Notes - No option to select the Privacy in OP & ER. Only Clinical Station > Nursing Notes has Privacy option
3. OP/IP > Examination Notes > Privacy = Visible to Doctors - When a doctor saved the examination notes with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the examination notes but other doctor is able to see the notes. Supposedly all doctors are able to see the saved notes. 
4. OP/IP > Progress Notes > Privacy = Visible to Doctors - When a doctor saved the progress notes with Privacy = Visible to Doctors, the notes saved is only visible to the doctor who saved the progress notes but other doctor is not able to see the notes. Supposedly all doctors are able to see the saved notes.
5. OP/ER/IP > Current Diagnosis > Privacy = Visible to Diagnosing Doctor Only - When a doctor saved the current diagnosis with Privacy = Visible to Diagnosing Doctor Only, the diagnosis saved is not visible to the diagnosing doctor .
Updated by Anis Yusof 10 months ago
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- Status changed from QA to Re-open
- Assignee changed from Amirali Mahjour to Mehdi Mehdi
6. OP > Current Diagnosis with Privacy = Visible to Doctors - Only the doctor who saved the diagnosis is able to see but other doctor cannot see
7. IP > Current Diagnosis with Privacy = Visible to Doctors - The doctor who saved the diagnosis is not able to see but other doctor can see
Updated by Daniyal Ansari 9 months ago
- Assignee changed from Mehdi Mehdi to Amirali Mahjour
Updated by Amirali Mahjour 9 months ago
- Status changed from Re-open to Coded
- Issue released on Dev added
Updated by Daniyal Ansari 9 months ago
- Status changed from Coded to QA
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
Updated by Mangesh Pangrekar 9 months ago
- Assignee changed from Mangesh Pangrekar to Harshada Dixit
Updated by Harshada Dixit 9 months ago
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- Status changed from QA to Re-open
- Assignee changed from Harshada Dixit to Daniyal Ansari
Please find observation below.
OP/IP/ER. Please see the details below:
- Issue: When a Doctor adds Notes and selects "Visible to Dr." or "Visible to diagnosing Dr. only" in the privacy tab, they are unable to see the records.
- Successful Case: When a Doctor adds notes and selects a specific Doctor's name for visibility, the records are visible as expected.
- Successful Case: When a Doctor or Nurse adds notes and selects "Visible to all," the records are visible as expected.
(Examination notes, HPI, Progress notes same issue as mentioned.)
(Current diagnosis have option Visible to diagnosis Dr. only)
(Tested on HUMS DEV)
Updated by Daniyal Ansari 9 months ago
- Assignee changed from Daniyal Ansari to Amirali Mahjour
Updated by Daniyal Ansari 8 months ago
- Status changed from Coded to QA
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
Updated by Anis Yusof 8 months ago
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- Status changed from QA to Tested
Please find the observation below:
Tested in QA
1. OP/IP > HPI > Privacy = Visible to Doctors - When a doctor saved the HPI with Privacy = Visible to Doctors, the notes saved is only visible to the doctor who saved the HPI but other doctor is not able to see the notes. Supposedly all doctors are able to see the saved notes - PASS, issue resolved in OP/IP
2. OP/ER > Nursing Notes - No option to select the Privacy in OP & ER. Only Clinical Station > Nursing Notes has Privacy option - PASS, issue resolved in OP/ER
3. OP/IP > Examination Notes > Privacy = Visible to Doctors - When a doctor saved the examination notes with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the examination notes but other doctor is able to see the notes. Supposedly all doctors are able to see the saved notes. - PASS, issue resolved in OP/IP
4. OP/IP > Progress Notes > Privacy = Visible to Doctors - When a doctor saved the progress notes with Privacy = Visible to Doctors, the notes saved is only visible to the doctor who saved the progress notes but other doctor is not able to see the notes. Supposedly all doctors are able to see the saved notes . - PASS, issue resolved in OP/IP
5. OP/ER/IP > Current Diagnosis > Privacy = Visible to Diagnosing Doctor Only - When a doctor saved the current diagnosis with Privacy = Visible to Diagnosing Doctor Only, the diagnosis saved is not visible to the diagnosing doctor. - PASS, issue resolved in OP/IP/ER
6. OP > Current Diagnosis with Privacy = Visible to Doctors - Only the doctor who saved the diagnosis is able to see but other doctor cannot see - PASS, issue resolved in OP
7. IP > Current Diagnosis with Privacy = Visible to Doctors - The doctor who saved the diagnosis is not able to see but other doctor can see - PASS, issue resolved in IP
Updated by Anis Yusof 8 months ago
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Updated by Anis Yusof 8 months ago
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Please find the observation below:
Tested in HUMS Dev
ER/OP/In Patient > Lock patient records on-demand - This ticket is FAIL as following findings ;
1. OP/IP/ER > HPI > Privacy = Visible to Doctors - When a doctor saved the HPI with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the HPI and other doctor also. Supposedly all doctors are able to see the saved notes
2. OP/IP/ER > Examination Notes > Privacy = Visible to Doctors - When a doctor saved the Examination Notes with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the Examination Notes and other doctor also. Supposedly all doctors are able to see the saved notes
3. OP/IP/ER > Progress Notes > Privacy = Visible to Doctors - When a doctor saved the Progress Notes with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the Progress Notes and other doctor also. Supposedly all doctors are able to see the saved notes
4. OP/IP/ER > Nursing Notes > Privacy = Visible to Doctors - When a nurse saved the Nursing Notes with Privacy = Visible to Doctors, the notes saved is not visible to the doctor who saved the Progress Notes and other doctor also. Supposedly all doctors are able to see the saved notes
5. OP/IP/ER > Current Diagnosis > Privacy = Visible to Doctors - When a doctor saved the Current Diagnosis with Privacy = Visible to Doctors, the diagnosis is not visible to the doctor who saved the diagnosis and other doctor also. Supposedly all doctors are able to see the saved diagnosis
Updated by Anis Yusof 8 months ago
- Status changed from Tested to Re-open
- Assignee changed from Mangesh Pangrekar to Mehdi Mehdi
Updated by Mehdi Mehdi 8 months ago
- Assignee changed from Mehdi Mehdi to Amirali Mahjour
Updated by Amirali Mahjour 8 months ago
as the description of the task the functionality is working just fine in the qa enviroment also it is fixed in the humsdev
please befor testing on any other new enviroment tell us to update the database of that enviroment
Updated by Mehdi Mehdi 8 months ago
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
Updated by Harshada Dixit 7 months ago · Edited
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Please find the observation below:
Tested in HUMS_Sandbox
ER/OP/In Patient > Lock patient records on-demand - This ticket is FAIL as following findings ;
1. OP/IP/ER > HPI > Privacy = Visible to Doctors - When a doctor saved the HPI with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the HPI and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
2. OP/IP/ER > Examination Notes > Privacy = Visible to Doctors - When a doctor saved the Examination Notes with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the Examination Notes and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
3. OP/IP/ER > Progress Notes > Privacy = Visible to Doctors - When a doctor saved the Progress Notes with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the Progress Notes and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
4. OP/IP/ER > Nursing Notes > Privacy = Visible to Doctors - When a nurse saved the Nursing Notes with Privacy = Visible to Doctors, the notes saved is not visible to the Nurse who saved the Nursing Notes but Dr can able to see notes which added by nurse but on encounter summary page not on patient case sheet.- FAIL
5. OP/IP/ER > Current Diagnosis > Privacy = Visible to Doctors - When a doctor saved the Current Diagnosis with Privacy = Visible to Doctors, the diagnosis is visible to the doctor who saved the diagnosis and other doctor also. Supposedly all doctors are able to see the saved diagnosis- PASS
Updated by Harshada Dixit 7 months ago
- Status changed from QA to Re-open
- Assignee changed from Mangesh Pangrekar to Mehdi Mehdi
Updated by Harshada Dixit 7 months ago
Updated by Mehdi Mehdi 7 months ago
- Assignee changed from Mehdi Mehdi to Amirali Mahjour
Updated by Mehdi Mehdi 7 months ago
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
Updated by Harshada Dixit 7 months ago · Edited
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- Status changed from QA to Tested
ER/OP/In Patient > Lock patient records on-demand- PASS
OP/IP/ER > Nursing Notes > Privacy = Visible to Doctors - When a nurse saved the Nursing Notes with Privacy = Visible to Doctors, the notes saved is not visible to the Nurse who saved the Nursing Notes but Dr can able to see notes which added by nurse but on encounter summary page not on patient case sheet.- PASS
Tested in QA
Updated by Harshada Dixit 7 months ago · Edited
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Please find the observation below:
Tested in HUMS_Sandbox
ER/OP/In Patient > Lock patient records on-demand - PASS
1. OP/IP/ER > HPI > Privacy = Visible to Doctors - When a doctor saved the HPI with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the HPI and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
2. OP/IP/ER > Examination Notes > Privacy = Visible to Doctors - When a doctor saved the Examination Notes with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the Examination Notes and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
3. OP/IP/ER > Progress Notes > Privacy = Visible to Doctors - When a doctor saved the Progress Notes with Privacy = Visible to Doctors, the notes saved is visible to the doctor who saved the Progress Notes and other doctor also. Supposedly all doctors are able to see the saved notes- PASS
4. OP/IP/ER > Nursing Notes > Privacy = Visible to Doctors - When a nurse saved the Nursing Notes with Privacy = Visible to Doctors, the notes saved is visible to the Nurse who saved the Nursing Notes, Dr can able to see notes which added by nurse.- PASS
5. OP/IP/ER > Current Diagnosis > Privacy = Visible to Doctors - When a doctor saved the Current Diagnosis with Privacy = Visible to Doctors, the diagnosis is visible to the doctor who saved the diagnosis and other doctor also. Supposedly all doctors are able to see the saved diagnosis- PASS
Updated by Kierthini Nethi 7 months ago
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- Status changed from Tested to Re-open
- Assignee changed from Mangesh Pangrekar to Daniyal Ansari
- Function HUMS added
Based on the current functionality, when a user inserts notes and sets visibility to specific users, the system allows the creator to select themselves in the visibility list. Logically, this should not be required, as the user who creates the note should inherently have access to view it by default.
Therefore, the expected behavior is:
The note creator should automatically have visibility of their own notes.
The creator should not need to (or be allowed to) select themselves in the visibility list.
Kindly review and adjust the logic accordingly to align with this expected behavior.
Updated by Kierthini Nethi 7 months ago
- Related to Gaps #92631: OP/IP/ER > Lock Patient on Demand> Privacy Setting required in Past Visit and History Tab added
Updated by Kierthini Nethi 7 months ago
- Related to Gaps #91051: Clinicare > Outpatient and Inpatient > VIP patient required remarks what type of VIP patient added
Updated by Kierthini Nethi 7 months ago
Kamini Kumar wrote:
1. The system shall support the ability to lock patient records on-demand in specific cases such as VIP status, sensitive diagnoses (e.g., psychiatric conditions or OSCC), or other confidentiality-sensitive situations example MLC as well.
2. When a record is locked, access should be restricted exclusively to the designated care team responsible for the patient's treatment.
3. Only authorized users explicitly assigned based on role or clearance level should have access to these records during the locked state.
4. This functionality must ensure audit trails and strict adherence to privacy and security compliance standards.
Updated by Kierthini Nethi 6 months ago
- Related to Gaps #92157: Restrict Access for MLC Cases added
Updated by Daniyal Ansari 6 months ago
- Assignee changed from Daniyal Ansari to Amirali Mahjour
Updated by Mehdi Mehdi 6 months ago
- Dev Due date changed from 27/12/2025 to 27/05/2026
- Release date to QA set to 29/05/2026
Updated by Harshada Dixit 5 months ago
- Tracker changed from Gaps to Process
- Status changed from QA to New
- Issue released on deleted (
Dev) - Function deleted (
HUMS)
Updated by Mangesh Pangrekar 5 months ago
- Status changed from Assigned to Coded
Updated by Mangesh Pangrekar 5 months ago
- Tracker changed from Process to Task
- Bug/Defect On QA added
- Issue released on NA added
Updated by Harshada Dixit 5 months ago · Edited
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- Tracker changed from Task to Process
- Status changed from Re-open to New
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
- Bug/Defect On deleted (
QA) - Issue released on deleted (
NA)
ER/OP/In Patient > Lock patient records on-demand - FAIL
OP - Working as expected
IP & ER
- when a physician adds a note and selects a specific Dr. to review it, that Dr. can see the notes as expected. However, these notes are also visible via the "Review notes" icon to other physicians who were not selected for the review.
please investigate why these notes are appearing for unselected users and ensure that access is restricted only to the intended reviewers
IP
ER
Updated by Mangesh Pangrekar 5 months ago
- Status changed from Assigned to Coded
Updated by Mangesh Pangrekar 5 months ago
- Tracker changed from Process to Task
- Bug/Defect On QA added
- Issue released on NA added
Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Mangesh Pangrekar to Amirali Mahjour
Updated by Mehdi Mehdi 5 months ago
- Assignee changed from Amirali Mahjour to Mangesh Pangrekar
Updated by Harshada Dixit 5 months ago
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- Status changed from QA to Tested
- Issue released on QA added
- Issue released on deleted (
NA)
ER/OP/In Patient > Lock patient records on-demand - PASS
OP/IP/ER- Notes not visible/accessible for unselected users- Working as expected
notes not visible for unselected users under below tab.
(Encounter summary, Patient case Sheet, Past visit, History, Review Notes)
verified in QA
Updated by Harshada Dixit 5 months ago
Updated by Mangesh Pangrekar 4 months ago
- Assignee changed from Mangesh Pangrekar to Kierthini Nethi