FHIR IG Statistics: Requirements/EHRSFMR2-RI.1.1.2.1

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{
  "resourceType": "Requirements",
  "id": "EHRSFMR2-RI.1.1.2.1",
  "meta": {
    "profile": [
      "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "ehr"
    }
  ],
  "url": "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.2.1",
  "version": "2.1.1-ballot",
  "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": "2025-05-13T15:11:00+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 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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "EHRSFMR2-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."
    }
  ]
}