HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 - Normative

HL7 Electronic Health Record System Functional Model, Release 2.1.1, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ehrsfm-ig/ and changes regularly. See the Directory of published versions

## Requirements: TI.1.3.1 Emergency Access Control (Function)

Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.1.3.1 | Version: 2.1.1
Standards status: Normative Active as of 2025-12-13 | Computable Name: TI_1_3_1_Emergency_Access_Control

Manage emergency access to EHR-S resources.

Description I:

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.

For example, emergency access may include:

- Single record entry (e.g., single laboratory results, single document, single view);
- Single patient;
- Single login session, multiple patients;
- Site mode allowing simultaneous emergency access to all users.

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.

Criteria N:

TI.1.3.1#01 | SHALL dependent | The system SHALL provide the ability to capture emergency access (permission) rules according to scope of practice, organizational policy, and/or jurisdictional law.
TI.1.3.1#02 | MAY dependent | 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.
TI.1.3.1#03 | SHALL dependent | 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.
TI.1.3.1#04 | SHALL dependent | The system SHALL provide the ability to maintain emergency access time limits according to scope of practice, organizational policy, and/or jurisdictional law.
TI.1.3.1#05 | MAY | The system MAY present periodic reminders to a system administrator to review user's emergency access privileges.
TI.1.3.1#06 | SHALL | The system SHALL provide the ability to capture a reason for emergency access.
TI.1.3.1#07 | SHALL | The system SHALL provide the ability to render an after action report for follow up of emergency access.