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.1.1.8.1.html |
Url | http://hl7.org/ehrs/Requirements/EHRSFMR2.1-RI.1.1.8.1 |
Version | 2.1.0 |
Status | active |
Date | 2024-11-26T16:30:50+00:00 |
Name | RI_1_1_8_1_Evidence_of_Record_Entry_Transmit_Event |
Title | RI.1.1.8.1 Evidence of Record Entry Transmit Event (Function) |
Experimental | False |
Realm | uv |
Authority | hl7 |
Description | Maintain Evidence of Record Entry Transmit Event |
Purpose | Evidence of Record Entry Transmit Event includes key metadata, ensures health record integrity (and trust) and enables record audit. |
No resources found
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Note: links and images are rebased to the (stated) source
Maintain Evidence of Record Entry Transmit Event
Evidence of Record Entry Transmit Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
RI.1.1.8.1#01 | SHALL |
The system SHALL audit each occurrence when Record Entry content is transmitted. |
RI.1.1.8.1#02 | SHALL |
The system SHALL capture identity of the organization from which Record Entry content is transmitted. |
RI.1.1.8.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of Record Entry content transmitted. |
RI.1.1.8.1#04 | SHALL |
The system SHALL capture identity of the user initiating transmission of Record Entry content. |
RI.1.1.8.1#05 | SHALL |
The system SHALL capture identity of the system application which transmitted Record Entry content. |
RI.1.1.8.1#06 | SHALL |
The system SHALL capture identity of the system application which received Record Entry content. |
RI.1.1.8.1#07 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., transmit). |
RI.1.1.8.1#08 | SHALL |
The system SHALL capture the date and time Record Entry content is transmitted. |
RI.1.1.8.1#09 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) from which the Record Entry is transmitted/disclosed. |
RI.1.1.8.1#10 | SHALL |
The system SHALL capture the location (network address) to which the Record Entry is transmitted/disclosed. |
RI.1.1.8.1#11 | MAY |
The system MAY capture the rationale for transmitting Record Entry content. |
RI.1.1.8.1#12 | SHALL |
The system SHALL capture the type of Record Entry content transmitted/disclosed (e.g., original, amended, updated data). |
RI.1.1.8.1#13 | MAY |
The system MAY capture the data, document or other identifier for transmitted/disclosed Record Entry. |
RI.1.1.8.1#14 | MAY |
The system MAY capture data elements for transmitted/disclosed Record Entry. |
RI.1.1.8.1#15 | dependent SHALL |
The system SHALL capture when a Record Entry transmit occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law. |
RI.1.1.8.1#16 | SHOULD |
The system SHOULD capture known and applicable permissions regarding Record Entry content transmitted including confidentiality codes, patient consent authorizations, privacy policy pointers. |
{
"resourceType" : "Requirements",
"id" : "EHRSFMR2.1-RI.1.1.8.1",
"meta" : {
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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 Transmit 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 Transmit 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.1.1.8.1#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 Record Entry content is transmitted.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#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 from which Record Entry content is transmitted.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#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 Record Entry content transmitted.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#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 initiating transmission 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.1.1.8.1#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 transmitted 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.1.1.8.1#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 identity of the system application which received 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.1.1.8.1#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 type of Record Event trigger (i.e., transmit).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#08</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 transmitted.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#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 identity of the location (i.e., network address) from which the Record Entry is transmitted/disclosed.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#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 the location (network address) to which the Record Entry is transmitted/disclosed.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#11</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 transmitting 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.1.1.8.1#12</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 Entry content transmitted/disclosed (e.g., original, amended, updated data).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#13</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 transmitted/disclosed Record Entry.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#14</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 data elements for transmitted/disclosed Record Entry.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>RI.1.1.8.1#15</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 transmit 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.1.1.8.1#16</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 transmitted 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.1.1.8.1",
"version" : "2.1.0",
"name" : "RI_1_1_8_1_Evidence_of_Record_Entry_Transmit_Event",
"title" : "RI.1.1.8.1 Evidence of Record Entry Transmit 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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"system" : "url",
"value" : "http://www.hl7.org/Special/committees/ehr"
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]
}
],
"description" : "Maintain Evidence of Record Entry Transmit Event",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"purpose" : "Evidence of Record Entry Transmit 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.1.1.8.1-01",
"label" : "RI.1.1.8.1#01",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL audit each occurrence when Record Entry content is transmitted.",
"derivedFrom" : "EHR-LM_R1 14.5.1"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-02",
"label" : "RI.1.1.8.1#02",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the organization from which Record Entry content is transmitted."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-03",
"label" : "RI.1.1.8.1#03",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the patient who is subject of Record Entry content transmitted."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-RI.1.1.8.1-04",
"label" : "RI.1.1.8.1#04",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the user initiating transmission of Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-05",
"label" : "RI.1.1.8.1#05",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the system application which transmitted Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-06",
"label" : "RI.1.1.8.1#06",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture identity of the system application which received Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-07",
"label" : "RI.1.1.8.1#07",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the type of Record Event trigger (i.e., transmit)."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-08",
"label" : "RI.1.1.8.1#08",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the date and time Record Entry content is transmitted."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-09",
"label" : "RI.1.1.8.1#09",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD capture identity of the location (i.e., network address) from which the Record Entry is transmitted/disclosed."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-10",
"label" : "RI.1.1.8.1#10",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the location (network address) to which the Record Entry is transmitted/disclosed."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-11",
"label" : "RI.1.1.8.1#11",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY capture the rationale for transmitting Record Entry content."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-12",
"label" : "RI.1.1.8.1#12",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture the type of Record Entry content transmitted/disclosed (e.g., original, amended, updated data)."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-13",
"label" : "RI.1.1.8.1#13",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY capture the data, document or other identifier for transmitted/disclosed Record Entry."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-14",
"label" : "RI.1.1.8.1#14",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY capture data elements for transmitted/disclosed Record Entry."
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : true
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-15",
"label" : "RI.1.1.8.1#15",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL capture when a Record Entry transmit 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
}
],
"key" : "EHRSFMR2.1-RI.1.1.8.1-16",
"label" : "RI.1.1.8.1#16",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD capture known and applicable permissions regarding Record Entry content transmitted including confidentiality codes, patient consent authorizations, privacy policy pointers."
}
]
}
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