IV PIELIKUMS ES atbilstības deklarācija

1.

The name of the EHR system, version and any additional unambiguous reference allowing identification of the EHR system.

2.

Name and address of the manufacturer or, where applicable, its authorised representative.

3.

A statement that the EU declaration of conformity is issued under the sole responsibility of the manufacturer.

4.

A statement that the EHR system in question is in conformity with the provisions laid down in Chapter III and, if applicable, with any other relevant Union law that provides for the issuing of an EU declaration of conformity, complemented by the result from the testing environment mentioned in Article 40.

5.

References to any relevant harmonised standards used and in relation to which conformity is declared.

6.

References to any common specifications used and in relation to which conformity is declared.

7.

Place and date of issue of the declaration, signature plus name and function of the person who signed and, if applicable, an indication of the person on whose behalf it was signed.

8.

Where applicable, additional information.