ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
0.14.0 - CI Build
ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1 - Local Development build (v0.14.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Active as of 2024-06-01 |
<Requirements xmlns="http://hl7.org/fhir">
<id value="EHRSFMR2.1-TI.1.7"/>
<meta>
<profile value="http://hl7.org/ehrs/StructureDefinition/FMFunction"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<span 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>Route electronically exchanged EHR data only to/from known and authenticated destinations/sources (according to applicable healthcare-specific rules and relevant standards).</p>
</div></span>
<span 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>An EHR-S needs to ensure that it is exchanging EHR information with the entities (applications, institutions, directories) it expects. This function depends on entity authorization and authentication to be available in the system. For example, a physician practice management application in an EHR-S might send claim attachment information to an external entity. To accomplish this, the application must use a secure routing method, which ensures that both the sender and receiving sides are authorized to engage in the information exchange. Known sources and destinations can be established in a static setup or they can be dynamically determined. Examples of a static setup are recordings of IP (Internet Protocol) addresses or recordings of DNS (Domain Name System) names. For dynamic determination of known sources and destinations, systems can use authentication mechanisms as described in TI.1. For example, the sending of a laboratory order from the EHR-S to a laboratory system within the same organization usually uses a simple static setup for routing. In contrast, sending a laboratory order to a reference laboratory outside of the organization will involve some kind of authentication process. Provision of a secure network infrastructure is beyond the scope of an EHR-S.</p>
</div></span>
<span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>
<table id="statements" class="grid dict">
<tr>
<td style="padding-left: 4px;">
<span>TI.1.7#01</span>
</td>
<td style="padding-left: 4px;">
<span>SHALL</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHALL conform to function [[TI.1.1]] (Entity Authentication) to exchange EHR data only to and from known, authenticated sources and destinations.</p>
</div></span>
</td>
</tr>
<tr>
<td style="padding-left: 4px;">
<span>TI.1.7#02</span>
</td>
<td style="padding-left: 4px;">
<span>SHALL</span>
</td>
<td style="padding-left: 4px;" class="requirement">
<span><div><p>The system SHALL conform to function [[TI.2]] (Audit) to capture audit information about changes to the status of sources and destinations.</p>
</div></span>
</td>
</tr>
</table>
</div>
</text>
<url value="http://hl7.org/ehrs/Requirements/EHRSFMR2.1-TI.1.7"/>
<version value="0.14.0"/>
<name value="TI_1_7_Secure_Data_Routing"/>
<title value="TI.1.7 Secure Data Routing (Function)"/>
<status value="active"/>
<date value="2024-06-01T08:34:10+00:00"/>
<publisher value="EHR WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/ehr"/>
</telecom>
</contact>
<description
value="Route electronically exchanged EHR data only to/from known and authenticated destinations/sources (according to applicable healthcare-specific rules and relevant standards)."/>
<purpose
value="An EHR-S needs to ensure that it is exchanging EHR information with the entities (applications, institutions, directories) it expects. This function depends on entity authorization and authentication to be available in the system. For example, a physician practice management application in an EHR-S might send claim attachment information to an external entity. To accomplish this, the application must use a secure routing method, which ensures that both the sender and receiving sides are authorized to engage in the information exchange. Known sources and destinations can be established in a static setup or they can be dynamically determined. Examples of a static setup are recordings of IP (Internet Protocol) addresses or recordings of DNS (Domain Name System) names. For dynamic determination of known sources and destinations, systems can use authentication mechanisms as described in TI.1. For example, the sending of a laboratory order from the EHR-S to a laboratory system within the same organization usually uses a simple static setup for routing. In contrast, sending a laboratory order to a reference laboratory outside of the organization will involve some kind of authentication process. Provision of a secure network infrastructure is beyond the scope of an EHR-S."/>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-TI.1.7-01"/>
<label value="TI.1.7#01"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL conform to function [[TI.1.1]] (Entity Authentication) to exchange EHR data only to and from known, authenticated sources and destinations."/>
<derivedFrom value="EHR-S_FM_R1.1 IN.1.7#2"/>
</statement>
<statement>
<extension
url="http://hl7.org/ehrs/StructureDefinition/requirements-dependent">
<valueBoolean value="false"/>
</extension>
<key value="EHRSFMR2.1-TI.1.7-02"/>
<label value="TI.1.7#02"/>
<conformance value="SHALL"/>
<conditionality value="false"/>
<requirement
value="The system SHALL conform to function [[TI.2]] (Audit) to capture audit information about changes to the status of sources and destinations."/>
<derivedFrom value="EHR-S_FM_R1.1 IN.1.7#3"/>
</statement>
</Requirements>