An AuditEvent recording a create of a List resource for a given Patient, Encounter, and CarePlan.

{
  "resourceType" : "AuditEvent",
  "id" : "example-advanced-create",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AuditEvent</b><a name=\"example-advanced-create\"> </a><a name=\"hcexample-advanced-create\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AuditEvent &quot;example-advanced-create&quot; </p></div><p><b>type</b>: <span title=\"  to include elements not typically populated, but for which there are query parameters  &amp;#10;  derived off of example in IHE.BALP IG  \">create <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-restful-interaction.html\">FHIR Restful Interactions</a>#create)</span></span></p><p><b>subtype</b>: Restful Operation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-audit-event-type.html\">Audit Event ID</a>#rest)</span></p><p><b>action</b>: C</p><p><b>severity</b>: informational</p><p><b>occurred</b>: 2020-04-29T09:49:00Z</p><p><b>recorded</b>: Apr 29, 2020, 9:49:00 AM</p><h3>Outcomes</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>Success (Details: http://terminology.hl7.org/CodeSystem/audit-event-outcome code 0 = 'Success', stated as 'Success')</td></tr></table><p><b>authorization</b>: treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActReason.html\">ActReason</a>#TREAT)</span></p><p><b>basedOn</b>: <a href=\"careplan-example.html\">CarePlan/example</a></p><p><b>patient</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example-home.html\">Encounter/home</a></p><blockquote><p><b>agent</b></p><p><b>type</b>: Source Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110153)</span></p><p><b>who</b>: <span>: myMachine.example.org</span></p><p><b>requestor</b>: false</p><p><b>network</b>: <code>urn:ipv6:2001:0db8:85a3:0000:0000:8a2e:0370:7334</code></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Destination Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110152)</span></p><p><b>who</b>: <a href=\"device-example.html\">Device/example</a></p><p><b>requestor</b>: false</p><p><b>network</b>: <a href=\"http://server.example.com/fhir\">http://server.example.com/fhir</a></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Informant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#INF)</span></p><p><b>who</b>: <span>: Betty Jones</span></p><p><b>requestor</b>: true</p></blockquote><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Site</b></td><td><b>Observer</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td><span>http://server.example.com</span></td><td><a href=\"device-example.html\">Device/example</a></td><td>Application Server <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-security-source-type.html\">Audit Event Source Type</a>#4)</span></td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>What</b></td><td><b>Role</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"list-example.html\">List/example</a></td><td>Domain Resource <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-object-role.html\">AuditEventEntityRole</a>#4)</span></td></tr></table></div>"
  },
  "type" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/restful-interaction",
      "code" : "create",
      "display" : "create"
    }]
  },
  "subtype" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/audit-event-type",
      "code" : "rest",
      "display" : "Restful Operation"
    }]
  }],
  "action" : "C",
  "severity" : "informational",
  "occurredDateTime" : "2020-04-29T09:49:00.000Z",
  "recorded" : "2020-04-29T09:49:00.000Z",
  "outcome" : {
    "code" : {
      "system" : "http://terminology.hl7.org/CodeSystem/audit-event-outcome",
      "code" : "0",
      "display" : "Success"
    }
  },
  "authorization" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code" : "TREAT"
    }]
  }],
  "basedOn" : [{
    "reference" : "CarePlan/example"
  }],
  "patient" : {
    "reference" : "Patient/example"
  },
  "encounter" : {
    "reference" : "Encounter/home"
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "110153",
        "display" : "Source Role ID"
      }]
    },
    "who" : {
      "display" : "myMachine.example.org"
    },
    "requestor" : false,
    "networkUri" : "urn:ipv6:2001:0db8:85a3:0000:0000:8a2e:0370:7334"
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "110152",
        "display" : "Destination Role ID"
      }]
    },
    "who" : {
      "reference" : "Device/example"
    },
    "requestor" : false,
    "networkUri" : "http://server.example.com/fhir"
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code" : "INF",
        "display" : "Informant"
      }]
    },
    "who" : {
      "display" : "Betty Jones"
    },
    "requestor" : true
  }],
  "source" : {
    "site" : {
      "identifier" : {
        "value" : "http://server.example.com"
      }
    },
    "observer" : {
      "reference" : "Device/example"
    },
    "type" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/security-source-type",
        "code" : "4",
        "display" : "Application Server"
      }]
    }]
  },
  "entity" : [{
    "what" : {
      "reference" : "List/example"
    },
    "role" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/object-role",
        "code" : "4",
        "display" : "Domain Resource"
      }]
    }
  }]
}