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

This page is part of the HL7 Electronic Health Record System Functional Model, Release 2.1.1 (v2.1.1-ballot: Normative 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Requirements: RI.1.1.4.1 Evidence of Record Entry Attestation Event (Function)

Page standards status: Informative
Statement N:

Maintain Evidence of Record Entry Attestation Event

 Description I:

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

 Actors:
ehr Criteria N:
RI.1.1.4.1#01 SHALL

The system SHALL audit each occurrence of Record Entry attestation (signature event).
RI.1.1.4.1#02 SHALL

The system SHALL capture identity of the organization where Record Entry content attestation (signature event) occurred.
RI.1.1.4.1#03 SHALL

The system SHALL capture identity of the patient who is subject of attested Record Entry content.
RI.1.1.4.1#04 SHALL

The system SHALL capture identity of the user attesting to Record Entry content (signature event).
RI.1.1.4.1#05 SHALL

The system SHALL capture identity of the system application in which Record Entry content attestation (signature event) occurred.
RI.1.1.4.1#06 SHALL

The system SHALL capture the type of Record Event trigger (i.e., attestation/signature event).
RI.1.1.4.1#07 SHALL

The system SHALL capture the date and time of Record Entry content attestation (signature event).
RI.1.1.4.1#08 SHOULD

The system SHOULD capture identity of the location (i.e., network address) where Record Entry content attestation (signature event) occurred.
RI.1.1.4.1#09 SHALL

The system SHALL capture the data, document or other identifier for attested Record Entry content.