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

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## Glossary Supplement: Record Lifecycle Events and Descriptions (Normative)

Developed (in part) by the HL7 EHR/Security WG Vocabulary Alignment Project

Incorporated in:

- HL7 FHIR Core R4 and FHIR Record Lifecycle Event Implementation Guide (RLE IG)
- ISO 21089:2018 Trusted End-to-End Information Flows
- ISO/HL7 10781:2020 EHR System Functional Model Release 2.1
- ISO/HL7 16527:2020 PHR System Functional Model Release 2

### Record Lifecycle Events (See RI.1.1.1)

Event | Description
--- | ---
Access/View Record Lifecycle Event | occurs when an agent causes the system to obtain and open a record entry for inspection or review.
Add Legal Hold Record Lifecycle Event | occurs when an agent causes the system to tag or otherwise indicate special access management and suspension of record entry deletion/destruction, if deemed relevant to a lawsuit or which are reasonably anticipated to be relevant or to fulfill organizational policy under the legal doctrine of “duty to preserve”.
Amend (Update) Record Lifecycle Event | occurs when an agent makes any change to record entry content currently residing in storage considered permanent (persistent).
Archive Record Lifecycle Event | occurs when an agent causes the system to create and move archive artifacts containing record entry content, typically to long-term offline storage.
Attest Record Lifecycle Event | occurs when an agent causes the system to capture the agent’s digital signature (or equivalent indication) during formal validation of record entry content.
Decrypt Record Lifecycle Event | occurs when an agent causes the system to decode record entry content from a cipher.
De-Identify (Anononymize) Record Lifecycle Event | occurs when an agent causes the system to scrub record entry content to reduce the association between a set of identifying data and the data subject in a way that may or may not be reversible.
Deprecate Record Lifecycle Event | occurs when an agent causes the system to tag record entry(ies) as obsolete, erroneous or untrustworthy, to warn against its future use.
Destroy/Delete Record Lifecycle Event | occurs when an agent causes the system to permanently erase record entry content from the system.
Disclose Record Lifecycle Event | occurs when an agent causes the system to release, transfer, provision access to, or otherwise divulge record entry content.
Encrypt Record Lifecycle Event | occurs when an agent causes the system to encode record entry content in a cipher.
Extract Record Lifecycle Event | occurs when an agent causes the system to selectively pull out a subset of record entry content, based on explicit criteria.
Link Record Lifecycle Event | occurs when an agent causes the system to connect related record entries.
Merge Record Lifecycle Event | occurs when an agent causes the system to combine or join content from two or more record entries, resulting in a single logical record entry.
Originate/Retain Record Lifecycle Event | occurs when an agent causes the system to: a) initiate capture of potential record content, and b) incorporate that content into the storage considered a permanent part of the health record.
Pseudonymize Record Lifecycle Event | occurs when an agent causes the system to remove record entry content to reduce the association between a set of identifying data and the data subject in a way that may be reversible.
Re-activate Record Lifecycle Event | occurs when an agent causes the system to recreate or restore full status to record entries previously deleted or deprecated.
Receive/Retain Record Lifecycle Event | occurs when an agent causes the system to a) initiate capture of data content from elsewhere, and b) incorporate that content into the storage considered a permanent part of the health record.
Re-identify Record Lifecycle Event | occurs when an agent causes the system to restore information to data that allows identification of information source and/or information subject.
Remove Legal Hold Record Lifecycle Event | occurs when an agent causes the system to remove a tag or other cues for special access management had required to fulfill organizational policy under the legal doctrine of “duty to preserve”.
Report (Output) Record Lifecycle Event | occurs when an agent causes the system to produce and deliver record entry content in a particular form and manner.
Restore Record Lifecycle Event | occurs when an agent causes the system to recreate record entries and their content from a previous created archive artefact.
Transform/Translate Record Lifecycle Event | occurs when an agent causes the system to change the form, language or code system used to represent record entry content.
Transmit Record Lifecycle Event | occurs when an agent causes the system to send record entry content from one (EHR/PHR/other) system to another.
Unlink Record Lifecycle Event | occurs when an agent causes the system to disconnect two or more record entries previously connected, rendering them separate (disconnected) again.
Unmerge Record Lifecycle Event | occurs when an agent causes the system to reverse a previous record entry merge operation, rendering them separate again.
Verify Record Lifecycle Event | occurs when an agent causes the system to confirm compliance of data or data objects with regulations, requirements, specifications, or other imposed conditions based on organizational policy.