HL7 Electronic Health Record System Functional Model, Release 2.1.1
2.1.1 - International flag

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

Requirements: RI.1.1.3.1 Evidence of Record Entry Translate Event (Function)

Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.3.1 Version: 2.1.1
Standards status: Normative Active as of 2025-10-31 Computable Name: RI_1_1_3_1_Evidence_of_Record_Entry_Translate_Event

Maintain Evidence of Record Entry Translate Event

Statement N:

Maintain Evidence of Record Entry Translate Event

Description I:

Evidence of Record Entry Translate Event includes key metadata, ensures health record integrity (and trust) and enables record audit.

Criteria N:
RI.1.1.3.1#01
SHALL

The system SHALL audit each occurrence when Record Entry content is translated.
RI.1.1.3.1#02
SHALL

The system SHALL capture identity of the organization where Record Entry content is translated.
RI.1.1.3.1#03
SHALL

The system SHALL capture identity of the patient who is subject of translated Record Entry content.
RI.1.1.3.1#04
 conditional
SHALL

IF a user initiated a Record Entry content translation, THEN the system SHALL capture identity of the user initiating Record Entry content translation.
RI.1.1.3.1#05
SHALL

The system SHALL capture identity of the system application which translated Record Entry content.
RI.1.1.3.1#06
SHALL

The system SHALL capture the type of Record Event trigger (i.e., translation).
RI.1.1.3.1#07
SHALL

The system SHALL capture the date and time Record Entry content is translated.
RI.1.1.3.1#08
SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is translated.
RI.1.1.3.1#09
 conditional
MAY

IF a user initiated a Record Entry translation, THEN the system MAY capture the rationale for translating Record Entry content.
RI.1.1.3.1#10
SHALL

The system SHALL capture a sequence identifier for translated Record Entry content.
RI.1.1.3.1#11
SHALL

The system SHALL capture the identifier and version of Translation Tools used for each translated Record Entry.
RI.1.1.3.1#12
SHALL

The system SHALL capture a reference (e.g., link, pointer) to pre-translation data for each Record Entry translation.