{ "resourceType" : "Requirements", "id" : "DHFPR2-RI.1.1.7.1", "meta" : { "profile" : ["http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "
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Description I:

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

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Criteria N:
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\n RI.1.1.7.1#01\n \n SHALL\n \n \n dependent\n \n \n \n \n \n \n \n

The system SHALL audit each occurrence when Record Entry content is disclosed according to scope of practice, organizational policy, and/or jurisdictional law.

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\n RI.1.1.7.1#02\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture identity of the organization from which Record Entry content is disclosed.

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\n RI.1.1.7.1#03\n \n SHALL\n \n \n \n \n \n \n \n \n

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

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\n RI.1.1.7.1#04\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture identity of the user initiating disclosure of Record Entry content.

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\n RI.1.1.7.1#05\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture identity of the system application from which Record Entry content is disclosed.

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\n RI.1.1.7.1#06\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture the type of Record Event trigger (i.e., disclose).

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\n RI.1.1.7.1#07\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture the date and time Record Entry content is disclosed.

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\n RI.1.1.7.1#08\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is disclosed.

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\n RI.1.1.7.1#09\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD capture the rationale for disclosing Record Entry content.

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\n RI.1.1.7.1#10\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY capture the data, document or other identifier for Record Entry content disclosed.

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\n RI.1.1.7.1#11\n \n SHALL\n \n \n dependent\n \n \n \n \n \n \n \n

The system SHALL capture that this is an occurrence when Record Entry content is known to be disclosed, according to scope of practice, organizational policy, and/or jurisdictional law.

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\n RI.1.1.7.1#12\n \n SHOULD\n \n \n \n \n \n \n \n \n

The system SHOULD capture known and applicable permissions regarding Record Entry content disclosed including confidentiality codes, patient consent authorizations, privacy policy pointers.

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" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "informative" }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "ehr" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger" : 1, "_valueInteger" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2" }] } }], "url" : "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-RI.1.1.7.1", "version" : "2.0.0-ballot", "name" : "RI_1_1_7_1_Evidence_of_Record_Entry_Disclosure_Event", "title" : "RI.1.1.7.1 Evidence of Record Entry Disclosure Event (Function)", "status" : "active", "date" : "2025-12-19T08:44:27+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 Disclosure Event", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "US" }] }], "purpose" : "Evidence of Record Entry Disclosure Event includes key metadata, ensures health record integrity (and trust) and enables record audit.", "derivedFrom" : ["http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.7.1"], "statement" : [{ "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : true }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-01", "label" : "RI.1.1.7.1#01", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL audit each occurrence when Record Entry content is disclosed according to scope of practice, organizational policy, and/or jurisdictional law.", "derivedFrom" : "RI.1.1.7.1#1" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-02", "label" : "RI.1.1.7.1#02", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture identity of the organization from which Record Entry content is disclosed.", "derivedFrom" : "RI.1.1.7.1#2" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-03", "label" : "RI.1.1.7.1#03", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture identity of the patient who is subject of Record Entry content disclosed.", "derivedFrom" : "RI.1.1.7.1#3" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-04", "label" : "RI.1.1.7.1#04", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture identity of the user initiating disclosure of Record Entry content.", "derivedFrom" : "RI.1.1.7.1#4" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-05", "label" : "RI.1.1.7.1#05", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture identity of the system application from which Record Entry content is disclosed.", "derivedFrom" : "RI.1.1.7.1#5" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-06", "label" : "RI.1.1.7.1#06", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture the type of Record Event trigger (i.e., disclose).", "derivedFrom" : "RI.1.1.7.1#6" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-07", "label" : "RI.1.1.7.1#07", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture the date and time Record Entry content is disclosed.", "derivedFrom" : "RI.1.1.7.1#7" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-08", "label" : "RI.1.1.7.1#08", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is disclosed.", "derivedFrom" : "RI.1.1.7.1#8" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-09", "label" : "RI.1.1.7.1#09", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD capture the rationale for disclosing Record Entry content.", "derivedFrom" : "RI.1.1.7.1#9" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-10", "label" : "RI.1.1.7.1#10", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY capture the data, document or other identifier for Record Entry content disclosed.", "derivedFrom" : "RI.1.1.7.1#10" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : true }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-11", "label" : "RI.1.1.7.1#11", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture that this is an occurrence when Record Entry content is known to be disclosed, according to scope of practice, organizational policy, and/or jurisdictional law.", "derivedFrom" : "RI.1.1.7.1#11" }, { "extension" : [{ "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent", "valueBoolean" : false }, { "url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info", "valueCode" : "NC" }], "key" : "DHFPR2-RI.1.1.7.1-12", "label" : "RI.1.1.7.1#12", "conformance" : ["SHOULD"], "conditionality" : false, "requirement" : "The system SHOULD capture known and applicable permissions regarding Record Entry content disclosed including confidentiality codes, patient consent authorizations, privacy policy pointers.", "derivedFrom" : "RI.1.1.7.1#12" }] }