Lower Extremity Skin Wound Assessment - IG - Local Development build (v0.1.0). See the Directory of published versions
RLE Mapping
This section provides the key Record Lifecycle Event Metadata mapping requirements to the FHIR security FHIR AuditEvent (R4) and FHIR Provenance (R4) resource types.
The conformance verbs used are defined in FHIR Conformance Rules.
Contents
Record Lifecycle Event Metadata Mapping
The following Record Lifecycle Event Metadata mappings are intended to facilitate the development and implementation of the recording of these events within all Lower Extremity Skin Wound Assessment actor systems used in this guide. The Record Lifecycle Events Metadata mappings covered in this page are:
- 15.1.2 Record lifecycle event - Originate/retain record entry instance(s)
- 15.2.2 Record lifecycle event - Amend (update) record entry instance(s)
- 15.9 Record lifecycle event - Receive/retain record entry instance(s)
Additional RLE mappings will be provided in subsequent updates to this guide.
AuditEvent Mapping
Originate/retain
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | AuditEvent | WHO / Patient |
| cc2 | SHALL | Who - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHOULD | - Digital Signature | ||
| cc4 | SHALL | - Organization ID/Descriptor | AuditEvent | WHO / Organization |
| cc5 | SHALL | - Business Unit ID/Descriptor | AuditEvent | WHO / Organization |
| cc6 | SHALL | - Individual Healthcare Professional, Caregiver ID | AuditEvent | WHO / Action - Performer |
| cc7 | SHOULD | - Role - relative to organization, business unit | AuditEvent | WHO / Action - Performer |
| cc8 | SHOULD | - Role - relative to Record Entry Instance: e.g. author, scribe/proxy, verifier | AuditEvent | WHO / Action - Performer |
| cc9 | SHOULD | - Role - relative to individual author of content | AuditEvent | WHO / Action - Performer |
| cc10 | SHOULD | - Scope of accountability | AuditEvent | WHO / Action - Performer |
| cc11 | SHALL | Who - Accountable Health/care Agent(s), if applicable: | ||
| cc12 | SHOULD | - Digital Signature | ||
| cc13 | SHALL | - Device, application or software ID | AuditEvent | WHO / Record - System/Device |
| cc14 | SHOULD | - Role - relative to Record Entry Instance: originator, source | AuditEvent | WHO / Record - System/Device |
| cc15 | SHOULD | - Scope of accountability | AuditEvent | WHO / Record - System/Device |
| cc16 | SHALL | What - Action Instance ID | AuditEvent | WHAT / Action - Taken |
| cc17 | SHALL | What - Record Entry Instance ID | AuditEvent | Add’l / Record Entry ID |
| cc18 | SHALL | What - Record Entry Lifecycle Event: originate | AuditEvent | WHAT / Record - Lifecycle Event |
| cc19 | SHALL | What - Record Entry instance status: e.g. new, updated, verified | AuditEvent | outcome (FHIR element) |
| cc20 | SHALL | What - Record Entry completion status: e.g. documented, dictated (pre-transcription), in progress, incomplete, pre-authenticated, authenticated, legally authenticated (ref: HL7) | AuditEvent | outcome (FHIR element) |
| cc21 | SHALL | When - Record Entry origination date/time | AuditEvent | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc22 | SHALL | Where - Record Entry physical location, point of origination | AuditEvent | WHERE / Action - Physical Location |
| cc23 | SHALL | Where - network address | ||
| cc24 | SHOULD | Why - rationale or purpose for Record Entry origination | AuditEvent | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
Amend (update)
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | AuditEvent | WHO / Patient |
| cc2 | SHALL | Who - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHOULD | - Digital Signature | ||
| cc4 | SHALL | - Organization ID/Descriptor | AuditEvent | WHO / Organization |
| cc5 | SHALL | - Business Unit ID/Descriptor | AuditEvent | WHO / Organization |
| cc6 | SHALL | - Individual Healthcare Professional, Caregiver ID | AuditEvent | WHO / Action - Performer |
| cc7 | SHOULD | - Role - relative to organization, business unit | AuditEvent | WHO / Action - Performer |
| cc8 | SHOULD | - Role - relative to Record Entry Instance: e.g. author, scribe/proxy | AuditEvent | WHO / Action - Performer |
| cc9 | SHOULD | - Role - relative to individual author of content | AuditEvent | WHO / Action - Performer |
| cc10 | SHOULD | - Scope of accountability | AuditEvent | WHO / Action - Performer |
| cc11 | SHALL | What - Action Instance ID | AuditEvent | WHAT / Action - Taken |
| cc12 | SHALL | What - Record Entry Instance ID | AuditEvent | Add’l / Record Entry ID |
| cc13 | SHALL | What - Record Entry Lifecycle Event: update | AuditEvent | WHAT / Record - Lifecycle Event |
| cc14 | SHALL | What - Record Entry instance status: e.g. updated | AuditEvent | outcome (FHIR element) |
| cc15 | SHALL | What - Record Entry completion status | AuditEvent | outcome (FHIR element) |
| cc16 | SHALL | When - Record Entry update date/time | AuditEvent | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc17 | SHALL | Where - Record Entry physical location, point of update | AuditEvent | WHERE / Action - Physical Location |
| cc18 | SHALL | Where - network address | ||
| cc19 | SHOULD | Why - rationale or purpose for Record Entry update | AuditEvent | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
Receive/retain
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | AuditEvent | WHO / Patient |
| cc2 | SHALL | Who - Source/Sender - Reporter, Discloser, Transmitter - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHALL | - Organization ID/Descriptor | AuditEvent | WHO / Organization |
| cc4 | SHALL | - Business Unit ID/Descriptor | AuditEvent | WHO / Organization |
| cc5 | SHALL | - Individual Healthcare Professional, Caregiver ID | AuditEvent | WHO / Action - Performer |
| cc6 | SHALL | Who - Intended Recipient - Accountable Health/care Party(ies), if applicable: | ||
| cc7 | SHALL | - Organization ID/Descriptor | AuditEvent | WHO / Organization |
| cc8 | SHALL | - Business Unit ID/Descriptor | AuditEvent | WHO / Organization |
| cc9 | SHALL | - Individual Healthcare Professional, Caregiver ID | AuditEvent | WHO / Action - Performer |
| cc10 | SHOULD | - Role - relative to organization, business unit | AuditEvent | WHO / Action - Performer |
| cc11 | SHOULD | - Role - relative to Record Entry Instance: e.g. recipient | AuditEvent | WHO / Action - Performer |
| cc12 | SHOULD | - Scope of accountability | AuditEvent | WHO / Action - Performer |
| cc13 | SHALL | Who - Accountable Health/care Agent(s), if applicable: | ||
| cc14 | SHOULD | - Digital Signature | ||
| cc15 | SHALL | - Device, application or software ID | AuditEvent | WHO / Record - System/Device |
| cc16 | SHOULD | - Role - relative to Record Entry Instance: e.g. receiver | AuditEvent | WHO / Record - System/Device |
| cc17 | SHOULD | - Scope of accountability | AuditEvent | WHO / Record - System/Device |
| cc18 | SHALL | What - Action Instance ID | AuditEvent | WHAT / Action - Taken |
| cc19 | SHALL | What - Record Entry Instance ID(s) | AuditEvent | Add’l / Record Entry ID |
| cc20 | SHALL | What - Record Entry Lifecycle Event: receipt | AuditEvent | WHAT / Record - Lifecycle Event |
| cc21 | SHALL | What - Record Entry instance status: e.g. received | AuditEvent | outcome |
| cc22 | SHALL | What - Record Entry completion status: e.g. completed | AuditEvent | outcome |
| cc23 | SHALL | When - Record Entry: e.g. date/time of receipt | AuditEvent | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc24 | SHALL | Where - Record Entry physical location: e.g. point of receipt | AuditEvent | WHERE / Action - Physical Location |
| cc25 | SHALL | Where - network address | ||
| cc26 | SHOULD | Why - rationale or purpose for Record Entry receipt | AuditEvent | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
Provenance Mapping
Originate/retain
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | Provenance | WHO / Patient |
| cc2 | SHALL | Who - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHOULD | - Digital Signature | Provenance | Add’l / Digital Signature(s) |
| cc4 | SHALL | - Organization ID/Descriptor | Provenance | WHO / Organization |
| cc5 | SHALL | - Business Unit ID/Descriptor | Provenance | WHO / Organization |
| cc6 | SHALL | - Individual Healthcare Professional, Caregiver ID | Provenance | WHO / Action - Performer |
| cc7 | SHOULD | - Role - relative to organization, business unit | Provenance | WHO / Action - Performer |
| cc8 | SHOULD | - Role - relative to Record Entry Instance: e.g. author, scribe/proxy, verifier | Provenance | WHO / Action - Performer |
| cc9 | SHOULD | - Role - relative to individual author of content | Provenance | WHO / Action - Performer |
| cc10 | SHOULD | - Scope of accountability | Provenance | WHO / Action - Performer |
| cc11 | SHALL | Who - Accountable Health/care Agent(s), if applicable: | ||
| cc12 | SHOULD | - Digital Signature | Provenance | Add’l / Digital Signature(s) |
| cc13 | SHALL | - Device, application or software ID | Provenance | WHO / Record - System/Device |
| cc14 | SHOULD | - Role - relative to Record Entry Instance: originator, source | Provenance | WHO / Record - System/Device |
| cc15 | SHOULD | - Scope of accountability | Provenance | WHO / Record - System/Device |
| cc16 | SHALL | What - Action Instance ID | Provenance | WHAT / Action - Taken |
| cc17 | SHALL | What - Record Entry Instance ID | Provenance | Add’l / Record Entry ID |
| cc18 | SHALL | What - Record Entry Lifecycle Event: originate | ||
| cc19 | SHALL | What - Record Entry instance status: e.g. new, updated, verified | ||
| cc20 | SHALL | What - Record Entry completion status: e.g. documented, dictated (pre-transcription), in progress, incomplete, pre-authenticated, authenticated, legally authenticated (ref: HL7) | ||
| cc21 | SHALL | When - Record Entry origination date/time | Provenance | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc22 | SHALL | Where - Record Entry physical location, point of origination | ||
| cc23 | SHALL | Where - network address | Provenance | WHERE / Record - Network Address |
| cc24 | SHOULD | Why - rationale or purpose for Record Entry origination | Provenance | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
Amend (update)
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | Provenance | WHO / Patient |
| cc2 | SHALL | Who - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHOULD | - Digital Signature | Provenance | Add’l / Digital Signature(s) |
| cc4 | SHALL | - Organization ID/Descriptor | Provenance | WHO / Organization |
| cc5 | SHALL | - Business Unit ID/Descriptor | Provenance | WHO / Organization |
| cc6 | SHALL | - Individual Healthcare Professional, Caregiver ID | Provenance | WHO / Action - Performer |
| cc7 | SHOULD | - Role - relative to organization, business unit | Provenance | WHO / Action - Performer |
| cc8 | SHOULD | - Role - relative to Record Entry Instance: e.g. author, scribe/proxy | Provenance | WHO / Action - Performer |
| cc9 | SHOULD | - Role - relative to individual author of content | Provenance | WHO / Action - Performer |
| cc10 | SHOULD | - Scope of accountability | Provenance | WHO / Action - Performer |
| cc11 | SHALL | What - Action Instance ID | Provenance | WHAT / Action - Taken |
| cc12 | SHALL | What - Record Entry Instance ID | Provenance | Add’l / Record Entry ID |
| cc13 | SHALL | What - Record Entry Lifecycle Event: update | ||
| cc14 | SHALL | What - Record Entry instance status: e.g. updated | ||
| cc15 | SHALL | What - Record Entry completion status | ||
| cc16 | SHALL | When - Record Entry update date/time | Provenance | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc17 | SHALL | Where - Record Entry physical location, point of update | ||
| cc18 | SHALL | Where - network address | Provenance | WHERE / Record - Network Address |
| cc19 | SHOULD | Why - rationale or purpose for Record Entry update | Provenance | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
Receive/retain
| ID | Conformance Verb |
Conformance Criteria |
FHIR Resource |
RLE Mapping |
|---|---|---|---|---|
| cc1 | SHALL | Who - Record Entry Subject - Individual Subject of Care ID | Provenance | WHO / Patient |
| cc2 | SHALL | Who - Source/Sender - Reporter, Discloser, Transmitter - Accountable Health/care Party(ies), if applicable: | ||
| cc3 | SHALL | - Organization ID/Descriptor | Provenance | WHO / Organization |
| cc4 | SHALL | - Business Unit ID/Descriptor | Provenance | WHO / Organization |
| cc5 | SHALL | - Individual Healthcare Professional, Caregiver ID | Provenance | WHO / Action - Performer |
| cc6 | SHALL | Who - Intended Recipient- Accountable Health/care Party(ies), if applicable: | ||
| cc7 | SHALL | - Organization ID/Descriptor | Provenance | WHO / Organization |
| cc8 | SHALL | - Business Unit ID/Descriptor | Provenance | WHO / Organization |
| cc9 | SHALL | - Individual Healthcare Professional, Caregiver ID | Provenance | WHO / Action - Performer |
| cc10 | SHOULD | - Role - relative to organization, business unit | Provenance | WHO / Action - Performer |
| cc11 | SHOULD | - Role - relative to Record Entry Instance: e.g. recipient | Provenance | WHO / Action - Performer |
| cc12 | SHOULD | - Scope of accountability | Provenance | WHO / Action - Performer |
| cc13 | SHALL | Who - Accountable Health/care Agent(s), if applicable: | ||
| cc14 | SHOULD | - Digital Signature | Provenance | Add’l / Digital Signature(s) |
| cc15 | SHALL | - Device, application or software ID | Provenance | WHO / Record - System/Device |
| cc16 | SHOULD | - Role - relative to Record Entry Instance: e.g. receiver | Provenance | WHO / Record - System/Device |
| cc17 | SHOULD | - Scope of accountability | Provenance | WHO / Record - System/Device |
| cc18 | SHALL | What - Action Instance ID | Provenance | WHAT / Action - Taken |
| cc19 | SHALL | What - Record Entry Instance ID(s) | Provenance | Add’l / Record Entry ID |
| cc20 | SHALL | What - Record Entry Lifecycle Event: receipt | ||
| cc21 | SHALL | What - Record Entry instance status: e.g. received | ||
| cc22 | SHALL | What - Record Entry completion status: e.g. completed | ||
| cc23 | SHALL | When - Record Entry: e.g. date/time of receipt | Provenance | WHEN / Action - Date/Time WHEN / Record - Date/Time |
| cc24 | SHALL | Where - Record Entry physical location: e.g. point of receipt | ||
| cc25 | SHALL | Where - network address | Provenance | WHERE / Record - Network Address |
| cc26 | SHOULD | Why - rationale or purpose for Record Entry receipt | Provenance | WHY / Action - Reason, Rationale, Purpose WHY / Record - Reason, Rationale, Purpose |
US Core Provenance Mapping
- US Core Basic Provenance Guidance (R4)
- US Core Provenance (R4)
- Table of Provenance data elements and the mapping to their data sources
- Baseline mappings from US Core Basic Provenance Guidance (R4)
