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FHIR IG Statistics: Requirements/PHRSFMR2-RI.1.1.4.1

Packagehl7.ehrs.uv.phrsfmr2
TypeRequirements
IdPHRSFMR2-RI.1.1.4.1
FHIR VersionR5
Sourcehttp://hl7.org/ehrs/uv/phrsfmr2/https://build.fhir.org/ig/HL7/phrsfm-ig/Requirements-PHRSFMR2-RI.1.1.4.1.html
URLhttp://hl7.org/ehrs/uv/phrsfmr2/Requirements/PHRSFMR2-RI.1.1.4.1
Version2.0.1-ballot
Statusactive
Date2025-04-03T15:15:30+00:00
NameRI_1_1_4_1_Evidence_of_Record_Entry_Attestation_Event
TitleRI.1.1.4.1 Evidence of Record Entry Attestation Event (Function)
Authorityhl7
DescriptionMaintain Evidence of Record Entry Attestation Event
PurposeEvidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

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Narrative

Note: links and images are rebased to the (stated) source

Statement N:

Maintain Evidence of Record Entry Attestation Event

Description I:

Evidence of Record Entry Attestation Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

Actors:
ehr
Criteria N:
RI.1.1.4.1#01 SHALL

The system SHALL audit each occurrence of Record Entry attestation (signature event).

RI.1.1.4.1#02 SHALL

The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred.

RI.1.1.4.1#03 SHALL

The system SHALL capture identity of the patient who is subject of attested Record Entry content.

RI.1.1.4.1#04 SHALL

The system SHALL capture identity of the user attesting to Record Entry content (signature event).

RI.1.1.4.1#05 SHALL

The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred.

RI.1.1.4.1#06 SHALL

The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event).

RI.1.1.4.1#07 SHALL

The system SHALL capture the date and time of Record Entry content attestation (signature event).

RI.1.1.4.1#08 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred.

RI.1.1.4.1#09 SHALL

The system SHALL capture the data, document or other identifier for attested Record Entry content.


Source

{
  "resourceType": "Requirements",
  "id": "PHRSFMR2-RI.1.1.4.1",
  "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.1.1.4.1",
  "version": "2.0.1-ballot",
  "name": "RI_1_1_4_1_Evidence_of_Record_Entry_Attestation_Event",
  "title": "RI.1.1.4.1 Evidence of Record Entry Attestation 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 Attestation Event",
  "purpose": "Evidence of Record Entry Attestation 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.1.1.4.1-01",
      "label": "RI.1.1.4.1#01",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL audit each occurrence of Record Entry attestation (signature event)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-02",
      "label": "RI.1.1.4.1#02",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-03",
      "label": "RI.1.1.4.1#03",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the patient who is subject of attested Record Entry content."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-04",
      "label": "RI.1.1.4.1#04",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the user attesting to Record Entry content (signature event)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-05",
      "label": "RI.1.1.4.1#05",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-06",
      "label": "RI.1.1.4.1#06",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-07",
      "label": "RI.1.1.4.1#07",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the date and time of Record Entry content attestation (signature event)."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-08",
      "label": "RI.1.1.4.1#08",
      "conformance": [
        "SHOULD"
      ],
      "conditionality": false,
      "requirement": "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred."
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/ehrs/uv/phrsfmr2/StructureDefinition/requirements-dependent",
          "valueBoolean": false
        }
      ],
      "key": "PHRSFMR2-RI.1.1.4.1-09",
      "label": "RI.1.1.4.1#09",
      "conformance": [
        "SHALL"
      ],
      "conditionality": false,
      "requirement": "The system SHALL capture the data, document or other identifier for attested Record Entry content."
    }
  ]
}