The system SHOULD provide the ability to transmit Record Entry content to external systems, retaining original, unaltered content and signature bindings, Action and Record Entry provenance and metadata.

The system SHALL provide the ability to transmit Record Entry extracts to external systems, including content, context, provenance and metadata.

The system SHALL provide the ability to capture the identity of the patient or individual subject to whom Record Entry content was transmitted.

IF a specific recipient is known, THEN the system SHOULD transmit protected Record Entry content based on established permissions and according to scope of practice, organizational policy, and/or jurisdictional law.

IF known and explicit as to Record Entry content being transmitted, THEN the system SHOULD transmit corresponding authorizations and patient consent permissions.

The system SHALL conform to function [[TI.1.6]] (Secure Data Exchange).

The system SHALL provide the ability to extract Record Entry content prior to transmittal, conforming to function [[RI.1.1.13]] (Extract Record Entry Content).

The system SHALL provide the ability to de-identify Record Entry content prior to transmittal, conforming to function [[RI.1.1.10]] (De-Identify Record Entries).

The system SHALL provide the ability to transmit updates (new versions) of Record Entry Content to known recipients of prior versions according to scope of practice, organizational policy, and/or jurisdictional law.

The system SHALL provide the ability to transmit with each exchange the most recent or all versions of Record Entry Content according to scope of practice, organizational policy, and/or jurisdictional law.