FHIR IG Statistics: Requirements/EHRSFMR2-TI.1.5

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{
  "resourceType": "Requirements",
  "id": "EHRSFMR2-TI.1.5",
  "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-TI.1.5",
  "version": "2.1.1-ballot",
  "name": "TI_1_5_Non_Repudiation",
  "title": "TI.1.5 Non-Repudiation (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": "Limit an EHR-S user's ability to deny (repudiate) data origination, transmission or receipt by that user.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "An EHR-S allows data entry to a patient's electronic health record and it can be a sender or receiver of healthcare information. Non-repudiation is a way to guarantee that the source of the data/record cannot later deny that fact; and that the sender of a message cannot later deny having sent the message; and that the recipient cannot deny having received the message. Components of non-repudiation can include:\n- Digital signature, which serves as a unique identifier for an individual (much like a written signature);\n- Confirmation service, which utilizes a message transfer agent to create a digital receipt (providing confirmation that a message was sent, and/or received);\n- Timestamp, which proves that a document existed at a certain date and time;\n- The use of standardized timekeeping protocols (e.g., the Integrating the Healthcare Enterprise (IHE) Consistent Time Profile).",
  "statement": [
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": true
        }
      ],
      "key": "EHRSFMR2-TI.1.5-01",
      "label": "TI.1.5#01",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the identity of the entity taking the action according to scope of practice, organizational policy, and/or jurisdictional law.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.1.5#1"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": true
        }
      ],
      "key": "EHRSFMR2-TI.1.5-02",
      "label": "TI.1.5#02",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture time stamp of the initial entry, modification and exchange of data according to scope of practice, organizational policy, and/or jurisdictional law.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.1.5#2"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": true
        }
      ],
      "key": "EHRSFMR2-TI.1.5-03",
      "label": "TI.1.5#03",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL conform to function [TI.2](Requirements-EHRSFMR2-TI.2.html) (Audit) to prevent repudiation of data origination, transmission and receipt according to scope of practice, organizational policy, and/or jurisdictional law.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.1.5#3"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": true
        }
      ],
      "key": "EHRSFMR2-TI.1.5-04",
      "label": "TI.1.5#04",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD conform to function [RI.1.1.4](Requirements-EHRSFMR2-RI.1.1.4.html) (Attest Record Entry Content) to ensure integrity of data and data exchange and thus prevent repudiation of data origination, transmission or receipt according to scope of practice, organizational policy, and/or jurisdictional law.",
      "derivedFrom": "EHR-S_FM_R1.1 IN.1.5#4"
    }
  ]
}