Deleted Items
The Deleted Items node is a secure, traceable location within each patient record where error-marked and deleted entries are stored. When an entry is marked in error, the system does not erase it — the item is retained and becomes accessible here for review and (in limited cases) reinstatement.
This page information supports: ISO 27001 9.4.5 / 12.4 ISO 27789 ISO 18308 DKICT-V5
"Deleted" means removed from standard clinical views, not erased from the legal patient record.
Purpose
The Deleted Items node supports three critical functions:
- Transparency — Corrections remain visible and traceable; documentation history is not hidden
- Auditability — Complete record of what changed, when, by whom, and why. Supports compliance with ISO 27001 9.4.5 / 12.4
- Data retention — Maintains corrected items as part of the legal patient record for investigations, complaints, and quality audits
Who Can Access
Access is restricted. Users must be granted View Deleted Items permission by System Admin or Clinic Admin.
| User Role | Access |
|---|---|
| Doctors (with full access) | ✅ Enabled |
| Nurses, medical assistants | ✅ Enabled |
| Pharmacist | ❌ Not enabled by default |
| Registration clerk | ❌ Not enabled |
| Clinic Admin / ICTSO | ✅ Enabled (audit review) |
| FMS / supervisors | ✅ Enabled |
| Visiting staff or students | ❌ Never granted |
Access should be based on legitimate need (audit, validation of corrections, supervisor review). Deleted Items is not for casual browsing.
Reinstatement (Limited Cases)
Some entries can be reinstated if they were marked in error mistakenly:
- User must have View Deleted Items permission
- Entry must be from your organization (cannot reinstate cross-organizational entries)
- Some entries cannot be reinstated by design (e.g., medications, consents)
- Cannot reinstate entries deleted and marked in error within the same session
Frequent reinstatement usually indicates users are marking entries in error without enough verification.
Audit and Compliance Role
Entries in Deleted Items remain part of the legal patient record and may be reviewed during:
- Internal audits, ISO audits, MOH audits DKICT-V5
- Medicolegal investigations
- Complaint reviews
- Data discrepancy investigations
- Quality assurance assessments
Contributor
Dr Fuad Jaafar
Facilitator, CCMS • KK Bandar Maharani