{ "resourceType" : "Requirements", "id" : "DHFPR2-TI.2.1", "meta" : { "profile" : ["http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "
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Description I:

EHR Systems have built in audit triggers to capture key events in real-time. Audit triggers signal key:

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  • Record management and lifecycle events;
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  • Security events related to system and data safeguards, both routine and exceptional;
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  • System events related to performance and operations, both routine and exceptional.
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  • Clinical events with special log requirements.
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Criteria N:
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\n TI.2.1#01\n \n SHALL\n \n \n dependent\n \n \n \n \n \n \n \n

The system SHALL audit key events, as specified in function TI.2.1 (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.

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\n TI.2.1#02\n \n SHALL\n \n \n dependent\n \n \n \n \n \n \n \n

The system SHALL capture key Audit Metadata at each Audit Trigger, as specified in TI.2.1 (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.

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\n TI.2.1#03\n \n SHALL\n \n \n dependent\n \n \n \n \n \n \n \n

The system SHALL capture an Audit Log Entry at each Audit Trigger as specified in TI.2.1 (Audit Triggers) according to scope of practice, organizational policy, and/or jurisdictional law.

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\n TI.2.1#04\n \n SHALL\n \n \n \n \n \n \n \n \n

The system SHALL capture the current master clock time to establish valid record date and time metadata.

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\n TI.2.1#05\n \n MAY\n \n \n \n \n \n \n \n \n

The system MAY manage Audit Trigger logging using a common audit engine (e.g., using schema and transports such as specified in the Audit Log specification of IHE Audit Trails and Node Authentication (ATNA) Profile).

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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-TI.2.1", "version" : "2.0.0-ballot", "name" : "TI_2_1_Audit_Triggers", "title" : "TI.2.1 Audit Triggers (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" : "Manage Audit Triggers", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "US" }] }], "purpose" : "EHR Systems have built in audit triggers to capture key events in real-time. Audit triggers signal key:\n- Record management and lifecycle events;\n- Security events related to system and data safeguards, both routine and exceptional;\n- System events related to performance and operations, both routine and exceptional.\n- Clinical events with special log requirements.", "derivedFrom" : ["http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.2.1"], "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-TI.2.1-01", "label" : "TI.2.1#01", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL audit key events, as specified in function [TI.2.1](Requirements-DHFPR2-TI.2.1.html) (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.", "derivedFrom" : "TI.2.1#1" }, { "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-TI.2.1-02", "label" : "TI.2.1#02", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture key Audit Metadata at each Audit Trigger, as specified in [TI.2.1](Requirements-DHFPR2-TI.2.1.html) (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.", "derivedFrom" : "TI.2.1#2" }, { "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-TI.2.1-03", "label" : "TI.2.1#03", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture an Audit Log Entry at each Audit Trigger as specified in [TI.2.1](Requirements-DHFPR2-TI.2.1.html) (Audit Triggers) according to scope of practice, organizational policy, and/or jurisdictional law.", "derivedFrom" : "TI.2.1#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-TI.2.1-04", "label" : "TI.2.1#04", "conformance" : ["SHALL"], "conditionality" : false, "requirement" : "The system SHALL capture the current master clock time to establish valid record date and time metadata.", "derivedFrom" : "TI.2.1#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-TI.2.1-05", "label" : "TI.2.1#05", "conformance" : ["MAY"], "conditionality" : false, "requirement" : "The system MAY manage Audit Trigger logging using a common audit engine (e.g., using schema and transports such as specified in the Audit Log specification of IHE Audit Trails and Node Authentication (ATNA) Profile).", "derivedFrom" : "TI.2.1#5" }] }