FHIR IG Statistics: Requirements/PHRSFMR2-RI.1.1.3.1

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{
  "resourceType": "Requirements",
  "id": "PHRSFMR2-RI.1.1.3.1",
  "meta": {
    "profile": [
      "http://hl7.org/ehrs/uv/phrsfmr2/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/phrsfmr2/Requirements/PHRSFMR2-RI.1.1.3.1",
  "version": "2.0.1-ballot",
  "name": "RI_1_1_3_1_Evidence_of_Record_Entry_Translate_Event",
  "title": "RI.1.1.3.1 Evidence of Record Entry Translate Event (Function)",
  "status": "active",
  "date": "2025-04-03T15:15:30+00:00",
  "publisher": "EHR WG",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/ehr"
        }
      ]
    }
  ],
  "description": "Maintain Evidence of Record Entry Translate Event",
  "purpose": "Evidence of Record Entry Translate Event includes key metadata, ensures health record integrity (and trust) and enables record audit.",
  "statement": [
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-01",
      "label": "RI.1.1.3.1#01",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL audit each occurrence when Record Entry content is translated."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-02",
      "label": "RI.1.1.3.1#02",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the organization where Record Entry content is translated."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-03",
      "label": "RI.1.1.3.1#03",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the patient who is subject of translated Record Entry content."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-04",
      "label": "RI.1.1.3.1#04",
      "conformance": [
        "SHALL"
      ],
      "conditionality": true,
      "requirement": "IF a user initiated a Record Entry content translation, THEN the system SHALL capture identity of the user initiating Record Entry content translation."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-05",
      "label": "RI.1.1.3.1#05",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the system application which translated Record Entry content."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-06",
      "label": "RI.1.1.3.1#06",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the type of Record Event trigger (i.e., translation)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-07",
      "label": "RI.1.1.3.1#07",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the date and time Record Entry content is translated."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-08",
      "label": "RI.1.1.3.1#08",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is translated."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-09",
      "label": "RI.1.1.3.1#09",
      "conformance": [
        "MAY"
      ],
      "conditionality": true,
      "requirement": "IF a user initiated a Record Entry translation, THEN the system MAY capture the rationale for translating Record Entry content."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-10",
      "label": "RI.1.1.3.1#10",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture a sequence identifier for translated Record Entry content."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-11",
      "label": "RI.1.1.3.1#11",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the identifier and version of Translation Tools used for each translated Record Entry."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.3.1-12",
      "label": "RI.1.1.3.1#12",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture a reference (e.g., link, pointer) to pre-translation data for each Record Entry translation."
    }
  ]
}