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Resource Requirements/FHIR Server from package hl7.ehrs.ehrsfmr21#current (32 ms)

Package hl7.ehrs.ehrsfmr21
Type Requirements
Id Id
FHIR Version R5
Source http://hl7.org/ehrs/https://build.fhir.org/ig/mvdzel/ehrsfm-fhir-r5/Requirements-EHRSFMR2.1-RI.1.1.2.1.html
Url http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.2.1
Version 2.1.0
Status active
Date 2024-11-26T16:30:50+00:00
Name RI_1_1_2_1_Evidence_of_Record_Entry_Amendment_Event
Title RI.1.1.2.1 Evidence of Record Entry Amendment Event (Function)
Experimental False
Realm uv
Authority hl7
Description Maintain Evidence of Record Entry Amendment Event
Purpose Evidence of Record Entry Amendment Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Statement N:

Maintain Evidence of Record Entry Amendment Event

Description I:

Evidence of Record Entry Amendment Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

Criteria N:
RI.1.1.2.1#01 SHALL

The system SHALL audit each occurrence when a Record Entry is amended.

RI.1.1.2.1#02 SHALL

The system SHALL capture identity of the organization where Record Entry content is amended.

RI.1.1.2.1#03 SHALL

The system SHALL capture identity of the patient who is subject of amended Record Entry content.

RI.1.1.2.1#04 SHALL

The system SHALL capture identity of the user who entered/authored Record Entry content amendment.

RI.1.1.2.1#05 SHALL

The system SHALL capture identity of the system application which amended Record Entry content.

RI.1.1.2.1#06 SHALL

The system SHALL capture the type of Record Event trigger (i.e., amendment).

RI.1.1.2.1#07 SHALL

The system SHALL capture the date and time Record Entry content is amended.

RI.1.1.2.1#08 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is amended.

RI.1.1.2.1#09 SHOULD

The system SHOULD capture the rationale for amending Record Entry content.

RI.1.1.2.1#10 SHALL

The system SHALL capture a sequence identifier for amended Record Entry content.

RI.1.1.2.1#11 SHOULD

The system SHOULD capture a reference (e.g., link, pointer) to pre-amendment data for each amended Record Entry.


Source

{
  "resourceType" : "Requirements",
  "id" : "EHRSFMR2.1-RI.1.1.2.1",
  "meta" : {
    "profile" : [
      "http://hl7.org/ehrs/StructureDefinition/FMFunction"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span id=\"description\"><b>Statement <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b> <div><p>Maintain Evidence of Record Entry Amendment Event</p>\n</div></span>\n\n \n <span id=\"purpose\"><b>Description <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Informative Content\" class=\"informative-flag\">I</a>:</b> <div><p>Evidence of Record Entry Amendment Event includes key metadata, ensures health record integrity (and trust) and enables record audit.</p>\n</div></span>\n \n\n \n\n \n <span id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></span>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#01</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL audit each occurrence when a Record Entry is amended.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#02</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture identity of the organization where Record Entry content is amended.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#03</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture identity of the patient who is subject of amended Record Entry content.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#04</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture identity of the user who entered/authored Record Entry content amendment.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#05</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture identity of the system application which amended Record Entry content.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#06</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture the type of Record Event trigger (i.e., amendment).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#07</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture the date and time Record Entry content is amended.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#08</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is amended.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#09</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD capture the rationale for amending Record Entry content.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#10</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL capture a sequence identifier for amended Record Entry content.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.2.1#11</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD capture a reference (e.g., link, pointer) to pre-amendment data for each amended Record Entry.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>"
  },
  "url" : "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.2.1",
  "version" : "2.1.0",
  "name" : "RI_1_1_2_1_Evidence_of_Record_Entry_Amendment_Event",
  "title" : "RI.1.1.2.1 Evidence of Record Entry Amendment Event (Function)",
  "status" : "active",
  "date" : "2024-11-26T16:30:50+00:00",
  "publisher" : "EHR WG",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/ehr"
        }
      ]
    }
  ],
  "description" : "Maintain Evidence of Record Entry Amendment Event",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001",
          "display" : "World"
        }
      ]
    }
  ],
  "purpose" : "Evidence of Record Entry Amendment Event includes key metadata, ensures health record integrity (and trust) and enables record audit.",
  "statement" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-01",
      "label" : "RI.1.1.2.1#01",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL audit each occurrence when a Record Entry is amended."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-02",
      "label" : "RI.1.1.2.1#02",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture identity of the organization where Record Entry content is amended."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-03",
      "label" : "RI.1.1.2.1#03",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture identity of the patient who is subject of amended Record Entry content.",
      "derivedFrom" : "EHR-LM_R1 14.2.1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-04",
      "label" : "RI.1.1.2.1#04",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture identity of the user who entered/authored Record Entry content amendment.",
      "derivedFrom" : "EHR-LM_R1 14.2.1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-05",
      "label" : "RI.1.1.2.1#05",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture identity of the system application which amended Record Entry content."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-06",
      "label" : "RI.1.1.2.1#06",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture the type of Record Event trigger (i.e., amendment)."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-07",
      "label" : "RI.1.1.2.1#07",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture the date and time Record Entry content is amended.",
      "derivedFrom" : "EHR-LM_R1 14.2.1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-08",
      "label" : "RI.1.1.2.1#08",
      "conformance" : [
        "SHOULD"
      ],
      "conditionality" : false,
      "requirement" : "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is amended.",
      "derivedFrom" : "EHR-LM_R1 14.2.1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-09",
      "label" : "RI.1.1.2.1#09",
      "conformance" : [
        "SHOULD"
      ],
      "conditionality" : false,
      "requirement" : "The system SHOULD capture the rationale for amending Record Entry content.",
      "derivedFrom" : "EHR-LM_R1 14.2.1"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-10",
      "label" : "RI.1.1.2.1#10",
      "conformance" : [
        "SHALL"
      ],
      "conditionality" : false,
      "requirement" : "The system SHALL capture a sequence identifier for amended Record Entry content."
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
          "valueBoolean" : false
        }
      ],
      "key" : "EHRSFMR2.1-RI.1.1.2.1-11",
      "label" : "RI.1.1.2.1#11",
      "conformance" : [
        "SHOULD"
      ],
      "conditionality" : false,
      "requirement" : "The system SHOULD capture a reference (e.g., link, pointer) to pre-amendment data for each amended Record Entry."
    }
  ]
}

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