<?xml version="1.0" encoding="UTF-8"?>

<Requirements xmlns="http://hl7.org/fhir">
  <id value="DHFPR2-TI.1.3.1"/>
  <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>The intent of Emergency Access Control is to mitigate the potential for impeding the provision of care in an emergency situation in accordance with organizational policy.</p>
<p>For example, emergency access may include:</p>
<ul>
<li>Single record entry (e.g., single laboratory results, single document, single view);</li>
<li>Single patient;</li>
<li>Single login session, multiple patients;</li>
<li>Site mode allowing simultaneous emergency access to all users.</li>
</ul>
<p>Logging of a user's activities should occur in the audit record/metadata. Reports of emergency access use for follow up are critical for compliance and monitoring.</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;">
            TI.1.3.1#01
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;">dependent</span>
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to capture emergency access (permission) rules according to scope of practice, organizational policy, and/or jurisdictional law.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#02
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;">dependent</span>
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY provide the ability to capture categories of emergency access criteria (e.g., 1) Single record entry such as single laboratory results, single document, single view; 2) Single patient; 3) Single login session, multiple patients; 4) Site mode allowing simultaneous emergency access to all users) according to scope of practice, organizational policy, and/or jurisdictional law.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#03
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;">dependent</span>
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL manage emergency access by individual users based on criteria (e.g., defined rules and categories) according to organizational policy, and/or jurisdictional law.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#04
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
                <span style="border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;">dependent</span>
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to maintain emergency access time limits according to scope of practice, organizational policy, and/or jurisdictional law.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#05
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY present periodic reminders to a system administrator to review user's emergency access privileges.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#06
            </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 a reason for emergency access.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            TI.1.3.1#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 render an after action report for follow up of emergency access.</p>
</div>
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
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    <valueCode value="informative"/>
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    <valueCode value="NC"/>
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    <valueCode value="ehr"/>
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  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
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      </extension>
    </valueInteger>
  </extension>
  <url value="http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-TI.1.3.1"/>
  <version value="2.0.0-ballot"/>
  <name value="TI_1_3_1_Emergency_Access_Control"/>
  <title value="TI.1.3.1 Emergency Access Control (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="Manage emergency access to EHR-S resources."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose value="The intent of Emergency Access Control is to mitigate the potential for impeding the provision of care in an emergency situation in accordance with organizational policy.&#xA;&#xA;For example, emergency access may include:&#xA;- Single record entry (e.g., single laboratory results, single document, single view);&#xA;- Single patient;&#xA;- Single login session, multiple patients;&#xA;- Site mode allowing simultaneous emergency access to all users.&#xA;&#xA;Logging of a user's activities should occur in the audit record/metadata. Reports of emergency access use for follow up are critical for compliance and monitoring."/>
  <derivedFrom value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.1.3.1"/>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-01"/>
    <label value="TI.1.3.1#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to capture emergency access (permission) rules according to scope of practice, organizational policy, and/or jurisdictional law."/>
    <derivedFrom value="TI.1.3.1#1"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-02"/>
    <label value="TI.1.3.1#02"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY provide the ability to capture categories of emergency access criteria (e.g., 1) Single record entry such as single laboratory results, single document, single view; 2) Single patient; 3) Single login session, multiple patients; 4) Site mode allowing simultaneous emergency access to all users) according to scope of practice, organizational policy, and/or jurisdictional law."/>
    <derivedFrom value="TI.1.3.1#2"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-03"/>
    <label value="TI.1.3.1#03"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL manage emergency access by individual users based on criteria (e.g., defined rules and categories) according to organizational policy, and/or jurisdictional law."/>
    <derivedFrom value="TI.1.3.1#3"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="true"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-04"/>
    <label value="TI.1.3.1#04"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to maintain emergency access time limits according to scope of practice, organizational policy, and/or jurisdictional law."/>
    <derivedFrom value="TI.1.3.1#4"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-05"/>
    <label value="TI.1.3.1#05"/>
    <conformance value="MAY"/>
    <conditionality value="false"/>
    <requirement value="The system MAY present periodic reminders to a system administrator to review user's emergency access privileges."/>
    <derivedFrom value="TI.1.3.1#5"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-06"/>
    <label value="TI.1.3.1#06"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to capture a reason for emergency access."/>
    <derivedFrom value="TI.1.3.1#6"/>
  </statement>
  <statement>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <extension url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info">
      <valueCode value="NC"/>
    </extension>
    <key value="DHFPR2-TI.1.3.1-07"/>
    <label value="TI.1.3.1#07"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement value="The system SHALL provide the ability to render an after action report for follow up of emergency access."/>
    <derivedFrom value="TI.1.3.1#7"/>
  </statement>
</Requirements>