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.1.1.4.1.html |
Url | http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.4.1 |
Version | 2.1.0 |
Status | active |
Date | 2024-11-26T16:30:50+00:00 |
Name | RI_1_1_4_1_Evidence_of_Record_Entry_Attestation_Event |
Title | RI.1.1.4.1 Evidence of Record Entry Attestation Event (Function) |
Experimental | False |
Realm | uv |
Authority | hl7 |
Description | Maintain Evidence of Record Entry Attestation Event |
Purpose | Evidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit. |
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Note: links and images are rebased to the (stated) source
Maintain Evidence of Record Entry Attestation Event
Evidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
RI.1.1.4.1#01 | SHALL |
The system SHALL audit each occurrence of Record Entry attestation (signature event). |
RI.1.1.4.1#02 | SHALL |
The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred. |
RI.1.1.4.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of attested Record Entry content. |
RI.1.1.4.1#04 | SHALL |
The system SHALL capture identity of the user attesting to Record Entry content (signature event). |
RI.1.1.4.1#05 | SHALL |
The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred. |
RI.1.1.4.1#06 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event). |
RI.1.1.4.1#07 | SHALL |
The system SHALL capture the date and time of Record Entry content attestation (signature event). |
RI.1.1.4.1#08 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred. |
RI.1.1.4.1#09 | SHALL |
The system SHALL capture the data, document or other identifier for attested Record Entry content. |
{
"resourceType" : "Requirements",
"id" : "EHRSFMR2.1-RI.1.1.4.1",
"meta" : {
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"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 Attestation 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 Attestation 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.1.1.4.1#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 of Record Entry attestation (signature event).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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 attestation (signature event) occurred.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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 attested 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.1.1.4.1#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 attesting to Record Entry content (signature event).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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 in which Record Entry content attestation (signature event) occurred.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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., attestation/signature event).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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 of Record Entry content attestation (signature event).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#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 attestation (signature event) occurred.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.4.1#09</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 data, document or other identifier for attested Record Entry content.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>"
},
"url" : "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.4.1",
"version" : "2.1.0",
"name" : "RI_1_1_4_1_Evidence_of_Record_Entry_Attestation_Event",
"title" : "RI.1.1.4.1 Evidence of Record Entry Attestation Event (Function)",
"status" : "active",
"date" : "2024-11-26T16:30:50+00:00",
"publisher" : "EHR WG",
"contact" : [
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"telecom" : [
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"value" : "http://www.hl7.org/Special/committees/ehr"
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}
],
"description" : "Maintain Evidence of Record Entry Attestation Event",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"purpose" : "Evidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit.",
"statement" : [
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.4.1-01",
"label" : "RI.1.1.4.1#01",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL audit each occurrence of Record Entry attestation (signature event).",
"derivedFrom" : "EHR-LM_R1 14.3.2"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.4.1-02",
"label" : "RI.1.1.4.1#02",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.4.1-03",
"label" : "RI.1.1.4.1#03",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the patient who is subject of attested Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.4.1-04",
"label" : "RI.1.1.4.1#04",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the user attesting to Record Entry content (signature event).",
"derivedFrom" : "EHR-LM_R1 14.3.2"
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.4.1-05",
"label" : "RI.1.1.4.1#05",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred.",
"derivedFrom" : "EHR-LM_R1 14.3.2"
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"extension" : [
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"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.4.1-06",
"label" : "RI.1.1.4.1#06",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event)."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.4.1-07",
"label" : "RI.1.1.4.1#07",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the date and time of Record Entry content attestation (signature event).",
"derivedFrom" : "EHR-LM_R1 14.3.2"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.4.1-08",
"label" : "RI.1.1.4.1#08",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred.",
"derivedFrom" : "EHR-LM_R1 14.3.2"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.4.1-09",
"label" : "RI.1.1.4.1#09",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the data, document or other identifier for attested Record Entry content."
}
]
}
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