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.1.1.8.1 | Version: 2.1.1 | |||
| Standards status: Normative Active as of 2025-10-31 | Computable Name: RI_1_1_8_1_Evidence_of_Record_Entry_Transmit_Event | |||
Maintain Evidence of Record Entry Transmit Event
Maintain Evidence of Record Entry Transmit Event
Evidence of Record Entry Transmit Event includes key metadata, ensures health record integrity (and trust) and enables record audit.
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                 RI.1.1.8.1#01 
                
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                 SHALL 
                
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                 The system SHALL audit each occurrence when Record Entry content is transmitted.  | 
        
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                 RI.1.1.8.1#02 
                
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                 SHALL 
                
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                 The system SHALL capture identity of the organization from which Record Entry content is transmitted.  | 
        
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                 RI.1.1.8.1#03 
                
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                 SHALL 
                
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                 The system SHALL capture identity of the patient who is subject of Record Entry content transmitted.  | 
        
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                 RI.1.1.8.1#04 
                
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                 SHALL 
                
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                 The system SHALL capture identity of the user initiating transmission of Record Entry content.  | 
        
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                 RI.1.1.8.1#05 
                
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                 SHALL 
                
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                 The system SHALL capture identity of the system application which transmitted Record Entry content.  | 
        
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                 RI.1.1.8.1#06 
                
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                 SHALL 
                
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                 The system SHALL capture identity of the system application which received Record Entry content.  | 
        
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                 RI.1.1.8.1#07 
                
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                 SHALL 
                
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                 The system SHALL capture the type of Record Event trigger (i.e., transmit).  | 
        
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                 RI.1.1.8.1#08 
                
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                 SHALL 
                
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                 The system SHALL capture the date and time Record Entry content is transmitted.  | 
        
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                 RI.1.1.8.1#09 
                
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                 SHOULD 
                
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                 The system SHOULD capture identity of the location (i.e., network address) from which the Record Entry is transmitted/disclosed.  | 
        
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                 RI.1.1.8.1#10 
                
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                 SHALL 
                
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                 The system SHALL capture the location (network address) to which the Record Entry is transmitted/disclosed.  | 
        
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                 RI.1.1.8.1#11 
                
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                 MAY 
                
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                 The system MAY capture the rationale for transmitting Record Entry content.  | 
        
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                 RI.1.1.8.1#12 
                
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                 SHALL 
                
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                 The system SHALL capture the type of Record Entry content transmitted/disclosed (e.g., original, amended, updated data).  | 
        
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                 RI.1.1.8.1#13 
                
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                 MAY 
                
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                 The system MAY capture the data, document or other identifier for transmitted/disclosed Record Entry.  | 
        
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                 RI.1.1.8.1#14 
                
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                 MAY 
                
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                 The system MAY capture data elements for transmitted/disclosed Record Entry.  | 
        
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                 RI.1.1.8.1#15 
                
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                dependent
                
                
                
                 SHALL 
                
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                 The system SHALL capture when a Record Entry transmit occurrence is known to be a disclosure, according to scope of practice, organizational policy, and/or jurisdictional law.  | 
        
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                 RI.1.1.8.1#16 
                
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                 SHOULD 
                
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                 The system SHOULD capture known and applicable permissions regarding Record Entry content transmitted including confidentiality codes, patient consent authorizations, privacy policy pointers.  |