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
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
| Page standards status: Normative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Requirements ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "EHRSFMR2-TI.2.1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction> ] )
] ; #
fhir:language [ fhir:v "en"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">\n <div id=\"description\"><b>Statement <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b> <div><p>Manage Audit Triggers</p>\n</div></div>\n\n \n <div id=\"purpose\"><b>Description <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Informative Content\" class=\"informative-flag\">I</a>:</b> <div><p>EHR Systems have built in audit triggers to capture key events in real-time. Audit triggers signal key:</p>\n<ul>\n<li>Record management and lifecycle events;</li>\n<li>Security events related to system and data safeguards, both routine and exceptional;</li>\n<li>System events related to performance and operations, both routine and exceptional.</li>\n<li>Clinical events with special log requirements.</li>\n</ul>\n</div></div>\n \n\n \n \n \n \n \n\n \n <div id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></div>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <div>TI.2.1#01</div>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n <i>dependent</i>\n \n \n \n <div>SHALL</div>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <div><div><p>The system SHALL audit key events, as specified in function <a href=\"Requirements-EHRSFMR2-TI.2.1.html\">TI.2.1</a> (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div></div>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <div>TI.2.1#02</div>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n <i>dependent</i>\n \n \n \n <div>SHALL</div>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <div><div><p>The system SHALL capture key Audit Metadata at each Audit Trigger, as specified in <a href=\"Requirements-EHRSFMR2-TI.2.1.html\">TI.2.1</a> (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div></div>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <div>TI.2.1#03</div>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n <i>dependent</i>\n \n \n \n <div>SHALL</div>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <div><div><p>The system SHALL capture an Audit Log Entry at each Audit Trigger as specified in <a href=\"Requirements-EHRSFMR2-TI.2.1.html\">TI.2.1</a> (Audit Triggers) according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div></div>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <div>TI.2.1#04</div>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <div>SHALL</div>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <div><div><p>The system SHALL capture the current master clock time to establish valid record date and time metadata.</p>\n</div></div>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <div>TI.2.1#05</div>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <div>MAY</div>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <div><div><p>The system MAY manage Audit Trigger logging using a common audit engine (e.g., using schema and transports such as specified in the Audit Log specification of IHE Audit Trails and Node Authentication (ATNA) Profile).</p>\n</div></div>\n \n \n </td>\n </tr>\n \n </table>\n</div>"^^rdf:XMLLiteral ]
] ; #
fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status> ] ;
fhir:value [
a fhir:Code ;
fhir:v "normative" ]
] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg> ] ;
fhir:value [
a fhir:Code ;
fhir:v "ehr" ]
] ) ; #
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.2.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-TI.2.1>
] ; #
fhir:version [ fhir:v "2.1.1"] ; #
fhir:name [ fhir:v "TI_2_1_Audit_Triggers"] ; #
fhir:title [ fhir:v "TI.2.1 Audit Triggers (Function)"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:date [ fhir:v "2025-10-31T19:25:08+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 International / Electronic Health Records"] ; #
fhir:contact ( [
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ] ] )
] ) ; #
fhir:description [ fhir:v "Manage Audit Triggers"] ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [
fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm> ] ;
fhir:code [ fhir:v "001" ] ;
fhir:display [ fhir:v "World" ] ] )
] ) ; #
fhir:purpose [ fhir:v "EHR Systems have built in audit triggers to capture key events in real-time. Audit triggers signal key:\n- Record management and lifecycle events;\n- Security events related to system and data safeguards, both routine and exceptional;\n- System events related to performance and operations, both routine and exceptional.\n- Clinical events with special log requirements."] ; #
fhir:statement ( [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent> ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true ] ] ) ;
fhir:key [ fhir:v "EHRSFMR2-TI.2.1-01" ] ;
fhir:label [ fhir:v "TI.2.1#01" ] ;
( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL audit key events, as specified in function [TI.2.1](Requirements-EHRSFMR2-TI.2.1.html) (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law." ]
] [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent> ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true ] ] ) ;
fhir:key [ fhir:v "EHRSFMR2-TI.2.1-02" ] ;
fhir:label [ fhir:v "TI.2.1#02" ] ;
( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL capture key Audit Metadata at each Audit Trigger, as specified in [TI.2.1](Requirements-EHRSFMR2-TI.2.1.html) (Audit Triggers) and child functions, according to scope of practice, organizational policy, and/or jurisdictional law." ]
] [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent> ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true ] ] ) ;
fhir:key [ fhir:v "EHRSFMR2-TI.2.1-03" ] ;
fhir:label [ fhir:v "TI.2.1#03" ] ;
( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL capture an Audit Log Entry at each Audit Trigger as specified in [TI.2.1](Requirements-EHRSFMR2-TI.2.1.html) (Audit Triggers) according to scope of practice, organizational policy, and/or jurisdictional law." ]
] [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent> ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false ] ] ) ;
fhir:key [ fhir:v "EHRSFMR2-TI.2.1-04" ] ;
fhir:label [ fhir:v "TI.2.1#04" ] ;
( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL capture the current master clock time to establish valid record date and time metadata." ] ;
fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 IN.2.2#18" ]
] [
( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent> ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false ] ] ) ;
fhir:key [ fhir:v "EHRSFMR2-TI.2.1-05" ] ;
fhir:label [ fhir:v "TI.2.1#05" ] ;
( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY manage Audit Trigger logging using a common audit engine (e.g., using schema and transports such as specified in the Audit Log specification of IHE Audit Trails and Node Authentication (ATNA) Profile)." ]
] ) . #
IG © 2025 HL7 International / Electronic Health Records.
Package hl7.ehrs.uv.ehrsfmr2#2.1.1 based on FHIR 5.0.0.
Generated 2025-10-31
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