Package | hl7.ehrs.uv.ehrsfmr2 |
Resource Type | Requirements |
Id | EHRSFMR2-RI.1.1.9.1 |
FHIR Version | R5 |
Source | http://hl7.org/ehrs/uv/ehrsfmr2/https://build.fhir.org/ig/mvdzel/ehrsfm-fhir-r5/Requirements-EHRSFMR2-RI.1.1.9.1.html |
URL | http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.9.1 |
Version | 2.1.1-ballot |
Status | active |
Date | 2025-05-13T15:11:00+00:00 |
Name | RI_1_1_9_1_Evidence_of_Record_Entry_Receive_Retain_Event |
Title | RI.1.1.9.1 Evidence of Record Entry Receive/Retain Event (Function) |
Realm | uv |
Authority | hl7 |
Description | Maintain Evidence of Record Entry Receive/Retain Event |
Purpose | Evidence of Record Entry Receive/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
Maintain Evidence of Record Entry Receive/Retain Event
Evidence of Record Entry Receive/Retain Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
RI.1.1.9.1#01 | SHALL |
The system SHALL audit each occurrence when externally-sourced Record Entry content is received and retained. |
RI.1.1.9.1#02 | SHALL |
The system SHALL capture identity of the organization transmitting Record Entry content received and retained. |
RI.1.1.9.1#03 | SHALL |
The system SHALL capture identity of the organization receiving transmitted Record Entry content. |
RI.1.1.9.1#04 | SHALL |
The system SHALL capture identity of the patient who is subject of received Record Entry content. |
RI.1.1.9.1#05 | conditional SHALL |
IF the system supports user verification of receipt of externally-sourced Record Entry content, THEN the system SHALL capture identity of the user accepting receipt of the transmitted Record Entry content. |
RI.1.1.9.1#06 | SHALL |
The system SHALL capture identity of the system application which transmitted Record Entry content. |
RI.1.1.9.1#07 | SHALL |
The system SHALL capture identity of the system application which received Record Entry content. |
RI.1.1.9.1#08 | SHALL |
The system SHALL capture the type of Record Event trigger (i.e., receive). |
RI.1.1.9.1#09 | SHALL |
The system SHALL capture the date and time Record Entry content is received. |
RI.1.1.9.1#10 | SHOULD |
The system SHOULD capture identity of the location (i.e., network address) where the Record Entry content is received. |
RI.1.1.9.1#11 | MAY |
The system MAY capture the rationale for accepting receipt of transmitted Record Entry content. |
RI.1.1.9.1#12 | SHALL |
The system SHALL capture the type of Record Entry content received (e.g., original, amended, updated data). |
RI.1.1.9.1#13 | conditional MAY |
IF an internal identifier is assigned to data/documents received from an external source, THEN the system MAY capture the data, document or other identifier for the Record Entry received. |
RI.1.1.9.1#14 | MAY |
The system MAY capture data elements for the Record Entry received. |
{ "resourceType": "Requirements", "id": "EHRSFMR2-RI.1.1.9.1", "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.1.1.9.1", "version": "2.1.1-ballot", "name": "RI_1_1_9_1_Evidence_of_Record_Entry_Receive_Retain_Event", "title": "RI.1.1.9.1 Evidence of Record Entry Receive/Retain 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 Receive/Retain Event", "jurisdiction": [ { "coding": [ { "system": "http://unstats.un.org/unsd/methods/m49/m49.htm", "code": "001", "display": "World" } ] } ], "purpose": "Evidence of Record Entry Receive/Retain 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.1.1.9.1-01", "label": "RI.1.1.9.1#01", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL audit each occurrence when externally-sourced Record Entry content is received and retained.", "derivedFrom": "EHR-LM_R1 14.6.1" }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-02", "label": "RI.1.1.9.1#02", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture identity of the organization transmitting Record Entry content received and retained." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-03", "label": "RI.1.1.9.1#03", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture identity of the organization receiving transmitted Record Entry content." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-04", "label": "RI.1.1.9.1#04", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture identity of the patient who is subject of received Record Entry content." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-05", "label": "RI.1.1.9.1#05", "conformance": [ "SHALL" ], "conditionality": true, "requirement": "IF the system supports user verification of receipt of externally-sourced Record Entry content, THEN the system SHALL capture identity of the user accepting receipt of the transmitted Record Entry content." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-06", "label": "RI.1.1.9.1#06", "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/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-07", "label": "RI.1.1.9.1#07", "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/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-08", "label": "RI.1.1.9.1#08", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture the type of Record Event trigger (i.e., receive)." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-09", "label": "RI.1.1.9.1#09", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture the date and time Record Entry content is received." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-10", "label": "RI.1.1.9.1#10", "conformance": [ "SHOULD" ], "conditionality": false, "requirement": "The system SHOULD capture identity of the location (i.e., network address) where the Record Entry content is received." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-11", "label": "RI.1.1.9.1#11", "conformance": [ "MAY" ], "conditionality": false, "requirement": "The system MAY capture the rationale for accepting receipt of transmitted Record Entry content." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-12", "label": "RI.1.1.9.1#12", "conformance": [ "SHALL" ], "conditionality": false, "requirement": "The system SHALL capture the type of Record Entry content received (e.g., original, amended, updated data)." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-13", "label": "RI.1.1.9.1#13", "conformance": [ "MAY" ], "conditionality": true, "requirement": "IF an internal identifier is assigned to data/documents received from an external source, THEN the system MAY capture the data, document or other identifier for the Record Entry received." }, { "extension": [ { "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean": false } ], "key": "EHRSFMR2-RI.1.1.9.1-14", "label": "RI.1.1.9.1#14", "conformance": [ "MAY" ], "conditionality": false, "requirement": "The system MAY capture data elements for the Record Entry received." } ] }