HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 -
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/mvdzel/ehrsfm-fhir-r5/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.2.1 | Version: 2.1.1 | |||
| Standards status: Normative Active as of 2025-10-31 | Computable Name: RI_1_1_2_1_Evidence_of_Record_Entry_Amendment_Event | |||
Maintain Evidence of Record Entry Amendment Event
Maintain Evidence of Record Entry Amendment Event
Evidence of Record Entry Amendment Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
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RI.1.1.2.1#01
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SHALL
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The system SHALL audit each occurrence when a Record Entry is amended. |
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RI.1.1.2.1#02
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SHALL
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The system SHALL capture identity of the organization where Record Entry content is amended. |
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RI.1.1.2.1#03
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SHALL
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The system SHALL capture identity of the patient who is subject of amended Record Entry content. |
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RI.1.1.2.1#04
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SHALL
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The system SHALL capture identity of the user who entered/authored Record Entry content amendment. |
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RI.1.1.2.1#05
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SHALL
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The system SHALL capture identity of the system application which amended Record Entry content. |
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RI.1.1.2.1#06
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SHALL
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The system SHALL capture the type of Record Event trigger (i.e., amendment). |
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RI.1.1.2.1#07
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SHALL
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The system SHALL capture the date and time Record Entry content is amended. |
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RI.1.1.2.1#08
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SHOULD
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The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is amended. |
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RI.1.1.2.1#09
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SHOULD
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The system SHOULD capture the rationale for amending Record Entry content. |
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RI.1.1.2.1#10
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SHALL
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The system SHALL capture a sequence identifier for amended Record Entry content. |
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RI.1.1.2.1#11
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SHOULD
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The system SHOULD capture a reference (e.g., link, pointer) to pre-amendment data for each amended Record Entry. |