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.1.1.6.1.html |
Url | http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.6.1 |
Version | 2.1.0 |
Status | active |
Date | 2024-11-26T16:30:50+00:00 |
Name | RI_1_1_6_1_Evidence_of_Record_Entry_Output_Report_Event |
Title | RI.1.1.6.1 Evidence of Record Entry Output/Report Event (Function) |
Experimental | False |
Realm | uv |
Authority | hl7 |
Description | Maintain Evidence of Record Entry Output/Report Event |
Purpose | Evidence of Record Entry Output/Report 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 Output/Report Event
Evidence of Record Entry Output/Report Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
RI.1.1.6.1#01 | SHALL |
The system SHALL audit each occurrence when an output (e.g., report, screen shot) is generated from Record Entry content. |
RI.1.1.6.1#02 | SHALL |
The system SHALL capture identity of the organization where output/report is generated from Record Entry content. |
RI.1.1.6.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of the Record Entry(ies) populating the output/report generated. |
RI.1.1.6.1#04 | SHALL |
The system SHALL capture identity of the user who generated the output/report of Record Entry content. |
RI.1.1.6.1#05 | SHALL |
The system SHALL capture identity of the system application from which the output/report is generated. |
RI.1.1.6.1#06 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., output/report). |
RI.1.1.6.1#07 | SHALL |
The system SHALL capture the date and time the output/report is generated. |
RI.1.1.6.1#08 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where the output/report is generated. |
RI.1.1.6.1#09 | MAY |
The system MAY capture the rationale for generating the output/report. |
RI.1.1.6.1#10 | MAY |
The system MAY capture the data, document, or other identifier for the output/report generated. |
RI.1.1.6.1#11 | dependent SHALL |
The system SHALL capture when a Record Entry content output/report occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law. |
RI.1.1.6.1#12 | SHOULD |
The system SHOULD capture known and applicable permissions regarding Record Entry content output/reported including confidentiality codes, patient consent authorizations, privacy policy pointers. |
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"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 Output/Report 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 Output/Report 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.1.1.6.1#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 an output (e.g., report, screen shot) is generated from 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.1.1.6.1#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 output/report is generated from 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.1.1.6.1#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 the Record Entry(ies) populating the output/report generated.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#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 generated the output/report of 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.1.1.6.1#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 from which the output/report is generated.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#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., output/report).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#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 the output/report is generated.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#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 the output/report is generated.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#09</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY capture the rationale for generating the output/report.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#10</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY capture the data, document, or other identifier for the output/report generated.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#11</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n <i>dependent</i>\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 when a Record Entry content output/report occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.6.1#12</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 known and applicable permissions regarding Record Entry content output/reported including confidentiality codes, patient consent authorizations, privacy policy pointers.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>"
},
"url" : "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.6.1",
"version" : "2.1.0",
"name" : "RI_1_1_6_1_Evidence_of_Record_Entry_Output_Report_Event",
"title" : "RI.1.1.6.1 Evidence of Record Entry Output/Report Event (Function)",
"status" : "active",
"date" : "2024-11-26T16:30:50+00:00",
"publisher" : "EHR WG",
"contact" : [
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"value" : "http://www.hl7.org/Special/committees/ehr"
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"description" : "Maintain Evidence of Record Entry Output/Report Event",
"jurisdiction" : [
{
"coding" : [
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"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
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"purpose" : "Evidence of Record Entry Output/Report Event includes key metadata, ensures health record integrity (and trust) and enables record audit.",
"statement" : [
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"extension" : [
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"valueBoolean" : false
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"key" : "EHRSFMR2.1-RI.1.1.6.1-01",
"label" : "RI.1.1.6.1#01",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL audit each occurrence when an output (e.g., report, screen shot) is generated from Record Entry content."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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"key" : "EHRSFMR2.1-RI.1.1.6.1-02",
"label" : "RI.1.1.6.1#02",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the organization where output/report is generated from Record Entry content."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-03",
"label" : "RI.1.1.6.1#03",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the patient who is subject of the Record Entry(ies) populating the output/report generated."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.6.1-04",
"label" : "RI.1.1.6.1#04",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the user who generated the output/report of Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.6.1-05",
"label" : "RI.1.1.6.1#05",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the system application from which the output/report is generated."
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{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-06",
"label" : "RI.1.1.6.1#06",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the type of Record Event trigger (i.e., output/report)."
},
{
"extension" : [
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"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-07",
"label" : "RI.1.1.6.1#07",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system SHALL capture the date and time the output/report is generated."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.6.1-08",
"label" : "RI.1.1.6.1#08",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD capture identity of the location (i.e., network address) where the output/report is generated."
},
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"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-09",
"label" : "RI.1.1.6.1#09",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY capture the rationale for generating the output/report."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-10",
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"conformance" : [
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"conditionality" : false,
"requirement" : "The system MAY capture the data, document, or other identifier for the output/report generated."
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"extension" : [
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"valueBoolean" : true
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-11",
"label" : "RI.1.1.6.1#11",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture when a Record Entry content output/report occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.6.1-12",
"label" : "RI.1.1.6.1#12",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD capture known and applicable permissions regarding Record Entry content output/reported including confidentiality codes, patient consent authorizations, privacy policy pointers."
}
]
}
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