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.1.1.5.1 Evidence of Record Entry View/Access Event (Function)

Official URL: http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-RI.1.1.5.1 Version: 2.1.1
Standards status: Normative Active as of 2025-10-31 Computable Name: RI_1_1_5_1_Evidence_of_Record_Entry_View_Access_Event

Maintain Evidence of Record Entry View/Access Event

Statement N:

Maintain Evidence of Record Entry View/Access Event

Description I:

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

Criteria N:
RI.1.1.5.1#01
SHALL

The system SHALL audit each occurrence when Record Entry content is viewed/accessed.
RI.1.1.5.1#02
SHALL

The system SHALL capture identity of the organization where Record Entry content is viewed/accessed.
RI.1.1.5.1#03
SHALL

The system SHALL capture identity of the patient who is subject of the viewed/accessed Record Entry content.
RI.1.1.5.1#04
SHALL

The system SHALL capture identity of the user who viewed/accessed Record Entry content.
RI.1.1.5.1#05
SHALL

The system SHALL capture identity of the system application in which Record Entry content is viewed/accessed.
RI.1.1.5.1#06
SHALL

The system SHALL capture the type of Record Event trigger (i.e., view/access).
RI.1.1.5.1#07
SHALL

The system SHALL capture the date and time Record Entry content is viewed/accessed.
RI.1.1.5.1#08
SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content is viewed/accessed.
RI.1.1.5.1#09
MAY

The system MAY capture the rationale for viewing/accessing Record Entry content (e.g., emergency access).
RI.1.1.5.1#10
SHALL

The system SHALL capture the data, document or other identifier for the viewed/accessed Record Entry content.
RI.1.1.5.1#11
MAY

The system MAY capture whether the data/document viewed/accessed is a primary source record (e.g., patient's record) or an aggregated report (e.g., summary report including multiple patients).
RI.1.1.5.1#12
 dependent
SHALL

The system SHALL capture when a Record Entry content view/access occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law.
RI.1.1.5.1#13
SHOULD

The system SHOULD capture known and applicable permissions regarding Record Entry content viewed/accessed including confidentiality codes, patient consent authorizations, privacy policy pointers.