FHIR IG analytics| Package | hl7.ehrs.us.dhfpr2 |
| Resource Type | Requirements |
| Id | Requirements-DHFPR2-RI.1.1.1.1.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7/dhfp-ig/Requirements-DHFPR2-RI.1.1.1.1.html |
| URL | http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-RI.1.1.1.1 |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-12-19T08:44:27+00:00 |
| Name | RI_1_1_1_1_Evidence_of_Record_Entry_Originate_Retain_Event |
| Title | RI.1.1.1.1 Evidence of Record Entry Originate/Retain Event (Function) |
| Realm | us |
| Authority | hl7 |
| Description | Maintain Evidence of Record Entry Originate/Retain Event |
| Purpose | Evidence of Record Entry Originate/Retain Event includes key metadata, ensures health record integrity (and trust) and enables record audit. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Evidence of Record Entry Originate/Retain Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
| RI.1.1.1.1#01 | SHALL |
The system SHALL audit each occurrence when a Record Entry is originated and retained. |
| RI.1.1.1.1#02 | SHALL |
The system SHALL capture identity of the organization where Record Entry content is originated. |
| RI.1.1.1.1#03 | SHALL |
The system SHALL capture identity of the patient who is subject of Record Entry content. |
| RI.1.1.1.1#04 | SHALL |
The system SHALL capture identity of the individual(s) who performed the Action documented in Record Entry content. |
| RI.1.1.1.1#05 | SHALL |
The system SHALL capture identity of the user who entered/authored Record Entry content. |
| RI.1.1.1.1#06 | SHALL |
The system SHALL capture identity of the system application which originated Record Entry content. |
| RI.1.1.1.1#07 | SHALL conditional |
IF the source of Record Entry content is a device, THEN the system SHALL capture identity of the device. |
| RI.1.1.1.1#08 | SHALL |
The system SHALL capture the Action as evidenced by Record Entry content. |
| RI.1.1.1.1#09 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., originate/retain). |
| RI.1.1.1.1#10 | SHALL |
The system SHALL capture the date and time of Action occurrence as evidenced by Record Entry content. |
| RI.1.1.1.1#11 | SHALL |
The system SHALL capture the date and time Record Entry content is originated. |
| RI.1.1.1.1#12 | MAY |
The system MAY capture the duration of the Action evidenced by Record Entry content. |
| RI.1.1.1.1#13 | MAY |
The system MAY capture the physical location of the Action evidenced by Record Entry content. |
| RI.1.1.1.1#14 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is originated. |
| RI.1.1.1.1#15 | MAY |
The system MAY capture the rationale for the Action evidenced by Record Entry content. |
| RI.1.1.1.1#16 | MAY |
The system MAY capture the rationale for originating Record Entry content. |
| RI.1.1.1.1#17 | SHOULD conditional |
IF Record Entry content includes templates (boilerplate information) or copied (duplicated) information, THEN the system SHOULD capture the source of such content. |
{
"resourceType": "Requirements",
"id": "DHFPR2-RI.1.1.1.1",
"meta": {
"profile": [
"http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "ehr"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2"
}
]
}
}
],
"url": "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-RI.1.1.1.1",
"version": "2.0.0-ballot",
"name": "RI_1_1_1_1_Evidence_of_Record_Entry_Originate_Retain_Event",
"title": "RI.1.1.1.1 Evidence of Record Entry Originate/Retain Event (Function)",
"status": "active",
"date": "2025-12-19T08:44:27+00:00",
"publisher": "HL7 International / Electronic Health Records",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/ehr"
}
]
}
],
"description": "Maintain Evidence of Record Entry Originate/Retain Event",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"purpose": "Evidence of Record Entry Originate/Retain Event includes key metadata, ensures health record integrity (and trust) and enables record audit.",
"derivedFrom": [
"http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.1.1"
],
"statement": [
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-01",
"label": "RI.1.1.1.1#01",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL audit each occurrence when a Record Entry is originated and retained.",
"derivedFrom": "RI.1.1.1.1#1"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-02",
"label": "RI.1.1.1.1#02",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture identity of the organization where Record Entry content is originated.",
"derivedFrom": "RI.1.1.1.1#2"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-03",
"label": "RI.1.1.1.1#03",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture identity of the patient who is subject of Record Entry content.",
"derivedFrom": "RI.1.1.1.1#3"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-04",
"label": "RI.1.1.1.1#04",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture identity of the individual(s) who performed the Action documented in Record Entry content.",
"derivedFrom": "RI.1.1.1.1#4"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-05",
"label": "RI.1.1.1.1#05",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture identity of the user who entered/authored Record Entry content.",
"derivedFrom": "RI.1.1.1.1#5"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-06",
"label": "RI.1.1.1.1#06",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture identity of the system application which originated Record Entry content.",
"derivedFrom": "RI.1.1.1.1#6"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-07",
"label": "RI.1.1.1.1#07",
"conformance": [
"SHALL"
],
"conditionality": true,
"requirement": "IF the source of Record Entry content is a device, THEN the system SHALL capture identity of the device.",
"derivedFrom": "RI.1.1.1.1#7"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-08",
"label": "RI.1.1.1.1#08",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture the Action as evidenced by Record Entry content.",
"derivedFrom": "RI.1.1.1.1#8"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-09",
"label": "RI.1.1.1.1#09",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture the type of Record Event trigger (i.e., originate/retain).",
"derivedFrom": "RI.1.1.1.1#9"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-10",
"label": "RI.1.1.1.1#10",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture the date and time of Action occurrence as evidenced by Record Entry content.",
"derivedFrom": "RI.1.1.1.1#10"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-11",
"label": "RI.1.1.1.1#11",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL capture the date and time Record Entry content is originated.",
"derivedFrom": "RI.1.1.1.1#11"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-12",
"label": "RI.1.1.1.1#12",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY capture the duration of the Action evidenced by Record Entry content.",
"derivedFrom": "RI.1.1.1.1#12"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-13",
"label": "RI.1.1.1.1#13",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY capture the physical location of the Action evidenced by Record Entry content.",
"derivedFrom": "RI.1.1.1.1#13"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-14",
"label": "RI.1.1.1.1#14",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is originated.",
"derivedFrom": "RI.1.1.1.1#14"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-15",
"label": "RI.1.1.1.1#15",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY capture the rationale for the Action evidenced by Record Entry content.",
"derivedFrom": "RI.1.1.1.1#15"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-16",
"label": "RI.1.1.1.1#16",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY capture the rationale for originating Record Entry content.",
"derivedFrom": "RI.1.1.1.1#16"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-RI.1.1.1.1-17",
"label": "RI.1.1.1.1#17",
"conformance": [
"SHOULD"
],
"conditionality": true,
"requirement": "IF Record Entry content includes templates (boilerplate information) or copied (duplicated) information, THEN the system SHOULD capture the source of such content.",
"derivedFrom": "RI.1.1.1.1#17"
}
]
}