RI.1.1.1 Originate/Retain Record Lifecycle Event (Function) - XML Representation - HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2 v2.0.0-ballot

HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dhfp-ig/ and changes regularly. See the Directory of published versions
: RI.1.1.1 Originate/Retain Record Lifecycle Event (Function)

Page standards status: Informative
Maturity Level: 1
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<Requirements xmlns="http://hl7.org/fhir">
  <id value="DHFPR2-RI.1.1.1"/>
  <meta>
    <profile
             value="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="en" xmlns="http://www.w3.org/1999/xhtml" lang="en">
    
             
    
    
    <div id="description"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>Occurs when an agent causes the system to: a) initiate capture of potential record content, and b) incorporate that content into the storage considered a permanent part of the health record.</p>
<p>Reference: ISO 21089-2018, Section 15.1.</p>
</div></div>
    
    
    
    <div id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></div>
    
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#01
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture (originate) a Record Entry instance corresponding to an Action instance and context.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#02
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL capture a unique instance identifier for each Record Entry.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#03
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL capture the signature event (e.g., digital signature) of the origination entry Author, binding signature to Record Entry content.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#04
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture both structured and unstructured content in Record Entries.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#05
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture Record Entries from information recorded during system downtime.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#06
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD provide the ability to integrate Record Entries from Information recorded during system downtime.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#07
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture the date/time an Action was taken or data was collected if different than date/time of the Record Entry.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#08
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHOULD capture metadata that identifies the source of non-originated Record Entry (e.g., templated, copied, duplicated, or boilerplate information).</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#09
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY provide the ability to tag unstructured Record Entry content to organize it according to need, for example, in a time-related fashion or by application-specific groups (such as photographs, handwritten notes, or auditory sounds), or by order of relative importance.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#10
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY capture and maintain a Record Entry encoded as a standards-based data object (e.g., HL7 Continuity of Care, other HL7 CDA R2 Document, ISO 13606 artifact).</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            RI.1.1.1#11
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY capture and maintain a standards-based data object to mirror (be duplicate and synchronous with) internal Record Entry representation.</p>
</div>
                
            </td>
        </tr>
        
    </table>
</div>
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  <url value="http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-RI.1.1.1"/>
  <version value="2.0.0-ballot"/>
  <name value="RI_1_1_1_Originate_Retain_Record_Lifecycle_Event"/>
  <title value="RI.1.1.1 Originate/Retain Record Lifecycle Event (Function)"/>
  <status value="active"/>
  <date value="2025-12-19T08:44:27+00:00"/>
  <publisher value="HL7 International / Electronic Health Records"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description value="Originate and Retain Record Entry (1 instance)"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose
           value="Occurs when an agent causes the system to: a) initiate capture of potential record content, and b) incorporate that content into the storage considered a permanent part of the health record. 

Reference: ISO 21089-2018, Section 15.1."/>
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    <key value="DHFPR2-RI.1.1.1-01"/>
    <label value="RI.1.1.1#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to capture (originate) a Record Entry instance corresponding to an Action instance and context."/>
    <derivedFrom value="RI.1.1.1#1"/>
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    <conformance value="SHALL"/>
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    <requirement
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    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL capture the signature event (e.g., digital signature) of the origination entry Author, binding signature to Record Entry content."/>
    <derivedFrom value="RI.1.1.1#3"/>
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    <conformance value="SHALL"/>
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    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to capture Record Entries from information recorded during system downtime."/>
    <derivedFrom value="RI.1.1.1#5"/>
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    <conformance value="SHALL"/>
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    <requirement
                 value="The system SHALL provide the ability to capture the date/time an Action was taken or data was collected if different than date/time of the Record Entry."/>
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    <requirement
                 value="The system SHOULD capture metadata that identifies the source of non-originated Record Entry (e.g., templated, copied, duplicated, or boilerplate information)."/>
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</Requirements>