"Profile","Id","Path","Slice Name","Alias(s)","Label","Min","Max","Must Support?","Is Modifier?","Is Summary?","Type(s)","Short","Definition","Comments","Requirements","Default Value","Meaning When Missing","Fixed Value","Pattern","Example","Minimum Value","Maximum Value","Maximum Length","Binding Strength","Binding Description","Binding Value Set","Code","Slicing Discriminator","Slicing Description","Slicing Ordered","Slicing Rules","Base Path","Base Min","Base Max","Condition(s)","Constraint(s)"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.subtype:anyCreate","AuditEvent.subtype","anyCreate","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://hl7.org/fhir/restful-interaction""/>
  <code value=""create""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.subtype:iti104","AuditEvent.subtype","iti104","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-104""/>
  <display value=""Patient Identity Feed FHIR""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""C""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Source","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110153""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110152""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/DataSources","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data","AuditEvent.entity","data","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","transaction body","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/RestObjectRoles","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may contain the security labels on the resource returned","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:data.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","identifier parameter - Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,0,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Create.Audit.Manager","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.subtype:anyDelete","AuditEvent.subtype","anyDelete","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://hl7.org/fhir/restful-interaction""/>
  <code value=""delete""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.subtype:iti104","AuditEvent.subtype","iti104","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-104""/>
  <display value=""Patient Identity Feed FHIR""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""D""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Source","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110150""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://terminology.hl7.org/CodeSystem/provenance-participant-type""/>
    <code value=""custodian""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/DataSources","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data","AuditEvent.entity","data","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Resource id from the DELETE path","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.reference","AuditEvent.entity.what.reference","","","",1,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/RestObjectRoles","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may be replicated from the resource .meta.security","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:data.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","identifier parameter - Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,0,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Manager","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.subtype:anyDelete","AuditEvent.subtype","anyDelete","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://hl7.org/fhir/restful-interaction""/>
  <code value=""delete""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.subtype:iti104","AuditEvent.subtype","iti104","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-104""/>
  <display value=""Patient Identity Feed FHIR""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""D""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Source","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110150""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://terminology.hl7.org/CodeSystem/provenance-participant-type""/>
    <code value=""custodian""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/DataSources","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data","AuditEvent.entity","data","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Resource id from the DELETE path","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.reference","AuditEvent.entity.what.reference","","","",1,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/RestObjectRoles","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may be replicated from the resource .meta.security","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:data.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","identifier parameter - Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,0,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Delete.Audit.Source","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.subtype:anyUpdate","AuditEvent.subtype","anyUpdate","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/AllUpdateVS","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.subtype:iti104","AuditEvent.subtype","iti104","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-104""/>
  <display value=""Patient Identity Feed FHIR""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""U""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Source","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110153""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110152""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/DataSources","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data","AuditEvent.entity","data","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","transaction body","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/RestObjectRoles","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may contain the security labels on the resource returned","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:data.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","identifier parameter - Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,0,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Manager","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.subtype:anyUpdate","AuditEvent.subtype","anyUpdate","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/AllUpdateVS","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.subtype:iti104","AuditEvent.subtype","iti104","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-104""/>
  <display value=""Patient Identity Feed FHIR""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""U""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Source","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110153""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110152""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/DataSources","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data","AuditEvent.entity","data","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","transaction body","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/RestObjectRoles","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may contain the security labels on the resource returned","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:data.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","identifier parameter - Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,0,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Feed.Update.Audit.Source","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient","Patient","","SubjectOfCare Client Resident
","",0,*,"","","","null {[]} {[]}
","Information about an individual or animal receiving health care services","Demographics and other administrative information about an individual or animal receiving care or other health-related services.","","","","","","","","","",,,,,"",,,,"Patient",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}iti-pdqm-linkstatus:If Patient.link is present, then Patient.active SHALL be present {link.exists() implies active.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.id","Patient.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.meta","Patient.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.implicitRules","Patient.implicitRules","","","",0,0,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.language","Patient.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.text","Patient.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contained","Patient.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.extension","Patient.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.extension:MothersMaidenName","Patient.extension","MothersMaidenName","","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName|5.2.0]]} {[]}
","Mother's Maiden name","Mother's maiden (unmarried) name, commonly collected to help verify patient identity.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.extension:genderIdentity","Patient.extension","genderIdentity","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-genderIdentity]]} {[]}
","The individual's gender identity","An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.","This represents an individual’s identity, ascertained by asking them what that identity is.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.extension:pronouns","Patient.extension","pronouns","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-pronouns]]} {[]}
","The pronouns to use when communicating about an individual.","The pronouns to use when referring to an individual in verbal or written communication.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.extension:recordedSexOrGender","Patient.extension","recordedSexOrGender","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender]]} {[]}
","A recorded sex or gender property for the individual","A sex or gender property for the individual from a document or other record","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.modifierExtension","Patient.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier","Patient.identifier","","","",1,*,"","","Y","Identifier {[]} {[]}
","An identifier for this patient","An identifier for this patient.","","Patients are almost always assigned specific numerical identifiers.","","","","","","","",,,,,"",,,,"Patient.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.id","Patient.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.extension","Patient.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.use","Patient.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.type","Patient.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.system","Patient.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","Assigning Authority ID or other identifiation namespace","Establishes the namespace for the value - that is, a URL that describes a set values that are unique. If the identifier is issued by an Assigning Authority, then the system SHALL be set to the Assigning Authority ID in the format ""urn:oid:[AAID]"". If the identifier value is a URI then system SHALL be set to ""urn:ietf:rfc:3986"".","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.value","Patient.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.period","Patient.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.identifier.assigner","Patient.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.active","Patient.active","","","",0,1,"Y","Y","Y","boolean {[]} {[]}
","Whether this patient's record is in active use","Whether this patient record is in active use. 
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.","If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.","Need to be able to mark a patient record as not to be used because it was created in error.","","This resource is generally assumed to be active if no value is provided for the active element","","","","","",,,,,"",,,,"Patient.active",0,1,"iti-pdqm-linkstatus
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.name","Patient.name","","","",0,*,"Y","","Y","HumanName {[]} {[]}
","A name associated with the patient","A name associated with the individual.","A patient may have multiple names with different uses or applicable periods. For animals, the name is a ""HumanName"" in the sense that is assigned and used by humans and has the same patterns.","Need to be able to track the patient by multiple names. Examples are your official name and a partner name.","","","","","","","",,,,,"",,,,"Patient.name",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
iti-pdqm-patname:Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. {(family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.telecom","Patient.telecom","","","",0,*,"Y","","Y","ContactPoint {[]} {[]}
","A contact detail for the individual","A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.","A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Patient.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.gender","Patient.gender","","","",0,1,"","","Y","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.","The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a ""hard"" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.","Needed for identification of the individual, in combination with (at least) name and birth date.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1","",,,,"Patient.gender",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.birthDate","Patient.birthDate","","","",1,1,"Y","","Y","date {[]} {[]}
","The date of birth for the individual","The date of birth for the individual.","At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension ""patient-birthTime"" available that should be used where Time is required (such as in maternity/infant care systems).","Age of the individual drives many clinical processes.","","","","","","","",,,,,"",,,,"Patient.birthDate",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.deceased[x]","Patient.deceased[x]","","","",0,1,"","Y","Y","boolean {[]} {[]}
dateTime {[]} {[]}","Indicates if the individual is deceased or not","Indicates if the individual is deceased or not.","If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","","","","","","","",,,,,"",,,,"Patient.deceased[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.address","Patient.address","","","",0,*,"Y","","Y","Address {[]} {[]}
","An address for the individual","An address for the individual.","Patient may have multiple addresses with different uses or applicable periods.","May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.","","","","","","","",,,,,"",,,,"Patient.address",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.maritalStatus","Patient.maritalStatus","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Marital (civil) status of a patient","This field contains a patient's most recent marital (civil) status.","","Most, if not all systems capture it.","","","","","","","",,"extensible","The domestic partnership status of a person.","http://hl7.org/fhir/ValueSet/marital-status|4.0.1","",,,,"Patient.maritalStatus",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.multipleBirth[x]","Patient.multipleBirth[x]","","","",0,1,"","","","boolean {[]} {[]}
integer {[]} {[]}","Whether patient is part of a multiple birth","Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","","","","","","","",,,,,"",,,,"Patient.multipleBirth[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.photo","Patient.photo","","","",0,*,"","","","Attachment {[]} {[]}
","Image of the patient","Image of the patient.","Guidelines:
* Use id photos, not clinical photos.
* Limit dimensions to thumbnail.
* Keep byte count low to ease resource updates.","Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.","","","","","","","",,,,,"",,,,"Patient.photo",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact","Patient.contact","","","",0,*,"","","","BackboneElement {[]} {[]}
","A contact party (e.g. guardian, partner, friend) for the patient","A contact party (e.g. guardian, partner, friend) for the patient.","Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.","Need to track people you can contact about the patient.","","","","","","","",,,,,"",,,,"Patient.contact",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
pat-1:SHALL at least contain a contact's details or a reference to an organization {name.exists() or telecom.exists() or address.exists() or organization.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.id","Patient.contact.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.extension","Patient.contact.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.modifierExtension","Patient.contact.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.relationship","Patient.contact.relationship","","","",0,*,"","","","CodeableConcept {[]} {[]}
","The kind of relationship","The nature of the relationship between the patient and the contact person.","","Used to determine which contact person is the most relevant to approach, depending on circumstances.","","","","","","","",,"extensible","The nature of the relationship between a patient and a contact person for that patient.","http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1","",,,,"Patient.contact.relationship",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.name","Patient.contact.name","","","",0,1,"","","","HumanName {[]} {[]}
","A name associated with the contact person","A name associated with the contact person.","","Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.","","","","","","","",,,,,"",,,,"Patient.contact.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.telecom","Patient.contact.telecom","","","",0,*,"","","","ContactPoint {[]} {[]}
","A contact detail for the person","A contact detail for the person, e.g. a telephone number or an email address.","Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Patient.contact.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.address","Patient.contact.address","","","",0,1,"","","","Address {[]} {[]}
","Address for the contact person","Address for the contact person.","","Need to keep track where the contact person can be contacted per postal mail or visited.","","","","","","","",,,,,"",,,,"Patient.contact.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.gender","Patient.contact.gender","","","",0,1,"","","","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.","","Needed to address the person correctly.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1","",,,,"Patient.contact.gender",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.organization","Patient.contact.organization","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that is associated with the contact","Organization on behalf of which the contact is acting or for which the contact is working.","","For guardians or business related contacts, the organization is relevant.","","","","","","","",,,,,"",,,,"Patient.contact.organization",0,1,"pat-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.contact.period","Patient.contact.period","","","",0,1,"","","","Period {[]} {[]}
","The period during which this contact person or organization is valid to be contacted relating to this patient","The period during which this contact person or organization is valid to be contacted relating to this patient.","","","","","","","","","",,,,,"",,,,"Patient.contact.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication","Patient.communication","","","",0,*,"","","","BackboneElement {[]} {[]}
","A language which may be used to communicate with the patient about his or her health","A language which may be used to communicate with the patient about his or her health.","If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.","If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.","","","","","","","",,,,,"",,,,"Patient.communication",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication.id","Patient.communication.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication.extension","Patient.communication.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication.modifierExtension","Patient.communication.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication.language","Patient.communication.language","","","",1,1,"","","","CodeableConcept {[]} {[]}
","The language which can be used to communicate with the patient about his or her health","The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. ""en"" for English, or ""en-US"" for American English versus ""en-EN"" for England English.","The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Patient.communication.language",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.communication.preferred","Patient.communication.preferred","","","",0,1,"","","","boolean {[]} {[]}
","Language preference indicator","Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).","This language is specifically identified for communicating healthcare information.","People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.","","","","","","","",,,,,"",,,,"Patient.communication.preferred",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.generalPractitioner","Patient.generalPractitioner","","careProvider
","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1]]}
","Patient's nominated primary care provider","Patient's nominated care provider.","This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.
Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a ""fly-in/fly-out"" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.","","","","","","","","",,,,,"",,,,"Patient.generalPractitioner",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.managingOrganization","Patient.managingOrganization","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that is the custodian of the patient record","Organization that is the custodian of the patient record.","There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).","Need to know who recognizes this patient record, manages and updates it.","","","","","","","",,,,,"",,,,"Patient.managingOrganization",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.link","Patient.link","","","",0,*,"Y","Y","Y","BackboneElement {[]} {[]}
","Link to another patient resource that concerns the same actual person","Link to another patient resource that concerns the same actual patient.","There is no assumption that linked patient records have mutual links.","There are multiple use cases:   

* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and 
* Distribution of patient information across multiple servers.","","","","","","","",,,,,"",,,,"Patient.link",0,*,"iti-pdqm-linkstatus
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.link.id","Patient.link.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient.BirthDateRequired","Patient.link.extension","Patient.link.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.link.modifierExtension","Patient.link.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient.BirthDateRequired","Patient.link.other","Patient.link.other","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The other patient or related person resource that the link refers to","The other patient resource that the link refers to.","Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.","","","","","","","","",,,,,"",,,,"Patient.link.other",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient.BirthDateRequired","Patient.link.type","Patient.link.type","","","",1,1,"","","Y","code {[]} {[]}
","replaced-by | replaces | refer | seealso","The type of link between this patient resource and another patient resource. When this Patient Resource has been subsumed by another, the type SHALL be replaced-by.","","","","","","","","","",,"required","The type of link between this patient resource and another patient resource.","http://hl7.org/fhir/ValueSet/link-type|4.0.1","",,,,"Patient.link.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient","Patient","","SubjectOfCare Client Resident
","",0,*,"","","","null {[]} {[]}
","Information about an individual or animal receiving health care services","Demographics and other administrative information about an individual or animal receiving care or other health-related services.","","","","","","","","","",,,,,"",,,,"Patient",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}iti-pdqm-linkstatus:If Patient.link is present, then Patient.active SHALL be present {link.exists() implies active.exists()}"
"IHE.PIXm.Patient","Patient.id","Patient.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Patient","Patient.meta","Patient.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.implicitRules","Patient.implicitRules","","","",0,0,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.language","Patient.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.text","Patient.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contained","Patient.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Patient","Patient.extension","Patient.extension","","","",0,*,"","","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"","value:url}
","",,"open","DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.extension:MothersMaidenName","Patient.extension","MothersMaidenName","","",0,1,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName|5.2.0]]} {[]}
","Mother's Maiden name","Mother's maiden (unmarried) name, commonly collected to help verify patient identity.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.extension:genderIdentity","Patient.extension","genderIdentity","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-genderIdentity]]} {[]}
","The individual's gender identity","An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.","This represents an individual’s identity, ascertained by asking them what that identity is.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.extension:pronouns","Patient.extension","pronouns","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-pronouns]]} {[]}
","The pronouns to use when communicating about an individual.","The pronouns to use when referring to an individual in verbal or written communication.","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.extension:recordedSexOrGender","Patient.extension","recordedSexOrGender","","",0,*,"","","","Extension {[CanonicalType[http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender]]} {[]}
","A recorded sex or gender property for the individual","A sex or gender property for the individual from a document or other record","","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.modifierExtension","Patient.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.identifier","Patient.identifier","","","",1,*,"Y","","Y","Identifier {[]} {[]}
","An identifier for this patient","An identifier for this patient.","","Patients are almost always assigned specific numerical identifiers.","","","","","","","",,,,,"",,,,"Patient.identifier",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.id","Patient.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient","Patient.identifier.extension","Patient.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.identifier.use","Patient.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.type","Patient.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.system","Patient.identifier.system","","","",1,1,"","","Y","uri {[]} {[]}
","Assigning Authority ID or other identifiation namespace","Establishes the namespace for the value - that is, a URL that describes a set values that are unique. If the identifier is issued by an Assigning Authority, then the system SHALL be set to the Assigning Authority ID in the format ""urn:oid:[AAID]"". If the identifier value is a URI then system SHALL be set to ""urn:ietf:rfc:3986"".","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.value","Patient.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.period","Patient.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.identifier.assigner","Patient.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.active","Patient.active","","","",0,1,"Y","Y","Y","boolean {[]} {[]}
","Whether this patient's record is in active use","Whether this patient record is in active use. 
Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.","If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.","Need to be able to mark a patient record as not to be used because it was created in error.","","This resource is generally assumed to be active if no value is provided for the active element","","","","","",,,,,"",,,,"Patient.active",0,1,"iti-pdqm-linkstatus
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.name","Patient.name","","","",1,*,"Y","","Y","HumanName {[]} {[]}
","A name associated with the patient","A name associated with the individual.","A patient may have multiple names with different uses or applicable periods. For animals, the name is a ""HumanName"" in the sense that is assigned and used by humans and has the same patterns.","Need to be able to track the patient by multiple names. Examples are your official name and a partner name.","","","","","","","",,,,,"",,,,"Patient.name",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
iti-pdqm-patname:Either Patient.name.given and/or Patient.name.family and/or Patient.name.text SHALL be present or a Data Absent Reason Extension SHALL be present. {(family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists()}"
"IHE.PIXm.Patient","Patient.telecom","Patient.telecom","","","",0,*,"Y","","Y","ContactPoint {[]} {[]}
","A contact detail for the individual","A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.","A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Patient.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.gender","Patient.gender","","","",0,1,"Y","","Y","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.","The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a ""hard"" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.","Needed for identification of the individual, in combination with (at least) name and birth date.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1","",,,,"Patient.gender",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.birthDate","Patient.birthDate","","","",0,1,"Y","","Y","date {[]} {[]}
","The date of birth for the individual","The date of birth for the individual.","At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension ""patient-birthTime"" available that should be used where Time is required (such as in maternity/infant care systems).","Age of the individual drives many clinical processes.","","","","","","","",,,,,"",,,,"Patient.birthDate",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.deceased[x]","Patient.deceased[x]","","","",0,1,"","Y","Y","boolean {[]} {[]}
dateTime {[]} {[]}","Indicates if the individual is deceased or not","Indicates if the individual is deceased or not.","If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.","The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.","","","","","","","",,,,,"",,,,"Patient.deceased[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.address","Patient.address","","","",0,*,"Y","","Y","Address {[]} {[]}
","An address for the individual","An address for the individual.","Patient may have multiple addresses with different uses or applicable periods.","May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.","","","","","","","",,,,,"",,,,"Patient.address",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.maritalStatus","Patient.maritalStatus","","","",0,1,"","","","CodeableConcept {[]} {[]}
","Marital (civil) status of a patient","This field contains a patient's most recent marital (civil) status.","","Most, if not all systems capture it.","","","","","","","",,"extensible","The domestic partnership status of a person.","http://hl7.org/fhir/ValueSet/marital-status|4.0.1","",,,,"Patient.maritalStatus",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.multipleBirth[x]","Patient.multipleBirth[x]","","","",0,1,"","","","boolean {[]} {[]}
integer {[]} {[]}","Whether patient is part of a multiple birth","Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).","Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).","For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.","","","","","","","",,,,,"",,,,"Patient.multipleBirth[x]",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.photo","Patient.photo","","","",0,*,"","","","Attachment {[]} {[]}
","Image of the patient","Image of the patient.","Guidelines:
* Use id photos, not clinical photos.
* Limit dimensions to thumbnail.
* Keep byte count low to ease resource updates.","Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.","","","","","","","",,,,,"",,,,"Patient.photo",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact","Patient.contact","","","",0,*,"","","","BackboneElement {[]} {[]}
","A contact party (e.g. guardian, partner, friend) for the patient","A contact party (e.g. guardian, partner, friend) for the patient.","Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.","Need to track people you can contact about the patient.","","","","","","","",,,,,"",,,,"Patient.contact",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
pat-1:SHALL at least contain a contact's details or a reference to an organization {name.exists() or telecom.exists() or address.exists() or organization.exists()}"
"IHE.PIXm.Patient","Patient.contact.id","Patient.contact.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient","Patient.contact.extension","Patient.contact.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.contact.modifierExtension","Patient.contact.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.contact.relationship","Patient.contact.relationship","","","",0,*,"","","","CodeableConcept {[]} {[]}
","The kind of relationship","The nature of the relationship between the patient and the contact person.","","Used to determine which contact person is the most relevant to approach, depending on circumstances.","","","","","","","",,"extensible","The nature of the relationship between a patient and a contact person for that patient.","http://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1","",,,,"Patient.contact.relationship",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.name","Patient.contact.name","","","",0,1,"","","","HumanName {[]} {[]}
","A name associated with the contact person","A name associated with the contact person.","","Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.","","","","","","","",,,,,"",,,,"Patient.contact.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.telecom","Patient.contact.telecom","","","",0,*,"","","","ContactPoint {[]} {[]}
","A contact detail for the person","A contact detail for the person, e.g. a telephone number or an email address.","Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.","People have (primary) ways to contact them in some way such as phone, email.","","","","","","","",,,,,"",,,,"Patient.contact.telecom",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.address","Patient.contact.address","","","",0,1,"","","","Address {[]} {[]}
","Address for the contact person","Address for the contact person.","","Need to keep track where the contact person can be contacted per postal mail or visited.","","","","","","","",,,,,"",,,,"Patient.contact.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.gender","Patient.contact.gender","","","",0,1,"","","","code {[]} {[]}
","male | female | other | unknown","Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.","","Needed to address the person correctly.","","","","","","","",,"required","The gender of a person used for administrative purposes.","http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1","",,,,"Patient.contact.gender",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.organization","Patient.contact.organization","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that is associated with the contact","Organization on behalf of which the contact is acting or for which the contact is working.","","For guardians or business related contacts, the organization is relevant.","","","","","","","",,,,,"",,,,"Patient.contact.organization",0,1,"pat-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.contact.period","Patient.contact.period","","","",0,1,"","","","Period {[]} {[]}
","The period during which this contact person or organization is valid to be contacted relating to this patient","The period during which this contact person or organization is valid to be contacted relating to this patient.","","","","","","","","","",,,,,"",,,,"Patient.contact.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.communication","Patient.communication","","","",0,*,"","","","BackboneElement {[]} {[]}
","A language which may be used to communicate with the patient about his or her health","A language which may be used to communicate with the patient about his or her health.","If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.","If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.","","","","","","","",,,,,"",,,,"Patient.communication",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.communication.id","Patient.communication.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient","Patient.communication.extension","Patient.communication.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.communication.modifierExtension","Patient.communication.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.communication.language","Patient.communication.language","","","",1,1,"","","","CodeableConcept {[]} {[]}
","The language which can be used to communicate with the patient about his or her health","The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. ""en"" for English, or ""en-US"" for American English versus ""en-EN"" for England English.","The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.","Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Patient.communication.language",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.communication.preferred","Patient.communication.preferred","","","",0,1,"","","","boolean {[]} {[]}
","Language preference indicator","Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).","This language is specifically identified for communicating healthcare information.","People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.","","","","","","","",,,,,"",,,,"Patient.communication.preferred",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.generalPractitioner","Patient.generalPractitioner","","careProvider
","",0,*,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1]]}
","Patient's nominated primary care provider","Patient's nominated care provider.","This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.
Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a ""fly-in/fly-out"" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.","","","","","","","","",,,,,"",,,,"Patient.generalPractitioner",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.managingOrganization","Patient.managingOrganization","","","",0,1,"Y","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that is the custodian of the patient record","Organization that is the custodian of the patient record.","There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).","Need to know who recognizes this patient record, manages and updates it.","","","","","","","",,,,,"",,,,"Patient.managingOrganization",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.link","Patient.link","","","",0,*,"Y","Y","Y","BackboneElement {[]} {[]}
","Link to another patient resource that concerns the same actual person","Link to another patient resource that concerns the same actual patient.","There is no assumption that linked patient records have mutual links.","There are multiple use cases:   

* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and 
* Distribution of patient information across multiple servers.","","","","","","","",,,,,"",,,,"Patient.link",0,*,"iti-pdqm-linkstatus
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.link.id","Patient.link.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Patient","Patient.link.extension","Patient.link.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.link.modifierExtension","Patient.link.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Patient","Patient.link.other","Patient.link.other","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The other patient or related person resource that the link refers to","The other patient resource that the link refers to.","Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.","","","","","","","","",,,,,"",,,,"Patient.link.other",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Patient","Patient.link.type","Patient.link.type","","","",1,1,"","","Y","code {[]} {[]}
","replaced-by | replaces | refer | seealso","The type of link between this patient resource and another patient resource. When this Patient Resource has been subsumed by another, the type SHALL be replaced-by.","","","","","","","","","",,"required","The type of link between this patient resource and another patient resource.","http://hl7.org/fhir/ValueSet/link-type|4.0.1","",,,,"Patient.link.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.subtype:anySearch","AuditEvent.subtype","anySearch","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/AllSearchVS","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.subtype:iti83","AuditEvent.subtype","iti83","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-83""/>
  <display value=""Mobile Patient Identifier Cross-reference Query""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""E""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Consumer","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110153""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110152""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://terminology.hl7.org/CodeSystem/v3-ParticipationType""/>
    <code value=""IRCP""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query","AuditEvent.entity","query","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Search Parameters","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.what","AuditEvent.entity.what","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""24""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.lifecycle","AuditEvent.entity.lifecycle","","","",0,0,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may contain the security labels on the Bundle search set returned","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.query","AuditEvent.entity.query","","","",1,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail","AuditEvent.entity.detail","","","",0,0,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:query.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
  <display value=""Person""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
  <display value=""Patient""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Consumer","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent","AuditEvent","","","",0,*,"","","","null {[]} {[]}
","Event record kept for security purposes","A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.","Based on IHE-ATNA.","","","","","","","","",,,,,"",,,,"AuditEvent",0,*,"","dom-2:If the resource is contained in another resource, it SHALL NOT contain nested Resources {contained.contained.empty()}
dom-3:If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource {contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()}dom-4:If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated {contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()}dom-5:If a resource is contained in another resource, it SHALL NOT have a security label {contained.meta.security.empty()}dom-6:A resource should have narrative for robust management {text.`div`.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.id","AuditEvent.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.meta","AuditEvent.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.implicitRules","AuditEvent.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.language","AuditEvent.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.text","AuditEvent.text","","narrative
htmlxhtmldisplay","",0,1,"","","","Narrative {[]} {[]}
","Text summary of the resource, for human interpretation","A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it ""clinically safe"" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a ""text blob"" or where text is additionally entered raw or narrated and encoded information is added later.","","","","","","","","",,,,,"",,,,"DomainResource.text",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.contained","AuditEvent.contained","","inline resources
anonymous resourcescontained resources","",0,*,"","","","Resource {[]} {[]}
","Contained, inline Resources","These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.","This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.","","","","","","","","",,,,,"",,,,"DomainResource.contained",0,*,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.extension","AuditEvent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"DomainResource.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.modifierExtension","AuditEvent.modifierExtension","","","",0,0,"","Y","","Extension {[]} {[]}
","Extension","An Extension","","","","","","","","","",,,,,"",,,,"DomainResource.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.type","AuditEvent.type","","","",1,1,"","","Y","Coding {[]} {[]}
","Type/identifier of event","Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.","","This identifies the performed function. For ""Execute"" Event Action Code audit records, this identifies the application function performed.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-event-type""/>
  <code value=""rest""/>
</valueCoding>","","","",,"extensible","Type of event.","http://hl7.org/fhir/ValueSet/audit-event-type|4.0.1","",,,,"AuditEvent.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.subtype","AuditEvent.subtype","","","",2,*,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","","value:$this}
","",,"open","AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.subtype:anySearch","AuditEvent.subtype","anySearch","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","","","","",,"required","","https://profiles.ihe.net/ITI/BALP/ValueSet/AllSearchVS","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.subtype:iti83","AuditEvent.subtype","iti83","","",1,1,"","","Y","Coding {[]} {[]}
","More specific type/id for the event","Identifier for the category of event.","","This field enables queries of messages by implementation-defined event categories.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""urn:ihe:event-type-code""/>
  <code value=""ITI-83""/>
  <display value=""Mobile Patient Identifier Cross-reference Query""/>
</valueCoding>","","","",,"extensible","Sub-type of event.","http://hl7.org/fhir/ValueSet/audit-event-sub-type|4.0.1","",,,,"AuditEvent.subtype",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.action","AuditEvent.action","","","",0,1,"","","Y","code {[]} {[]}
","Type of action performed during the event","Indicator for type of action performed during the event that generated the audit.","","This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""E""/>","","","",,"required","Indicator for type of action performed during the event that generated the event.","http://hl7.org/fhir/ValueSet/audit-event-action|4.0.1","",,,,"AuditEvent.action",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.period","AuditEvent.period","","","",0,1,"","","","Period {[]} {[]}
","When the activity occurred","The period during which the activity occurred.","The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.","","","","","","","","",,,,,"",,,,"AuditEvent.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.recorded","AuditEvent.recorded","","","",1,1,"","","Y","instant {[]} {[]}
","Time when the event was recorded","The time when the event was recorded.","In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.","This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.","","","","","","","",,,,,"",,,,"AuditEvent.recorded",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.outcome","AuditEvent.outcome","","","",1,1,"","","Y","code {[]} {[]}
","Whether the event succeeded or failed","Indicates whether the event succeeded or failed.","In some cases a ""success"" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.","","","","","<valueCode xmlns=""http://hl7.org/fhir"" value=""0""/>","","","",,"required","Indicates whether the event succeeded or failed.","http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1","",,,,"AuditEvent.outcome",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.outcomeDesc","AuditEvent.outcomeDesc","","","",0,1,"","","Y","string {[]} {[]}
","Description of the event outcome","A free text description of the outcome of the event.","","","","","","","","","",,,,,"",,,,"AuditEvent.outcomeDesc",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.purposeOfEvent","AuditEvent.purposeOfEvent","","","",0,*,"","","Y","CodeableConcept {[]} {[]}
","The purposeOfUse of the event","The purposeOfUse (reason) that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.purposeOfEvent",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent","AuditEvent.agent","","ActiveParticipant
","",2,*,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.type","AuditEvent.agent.type","","","",0,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.who","AuditEvent.agent.who","","userId
","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.media","AuditEvent.agent.media","","","",0,1,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network","AuditEvent.agent.network","","","",0,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client","AuditEvent.agent","client","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Consumer","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110153""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:client.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server","AuditEvent.agent","server","ActiveParticipant
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient Identifier Cross-reference Manager","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
val-audit-source:The Audit Source is this agent too. {$this.who = %resource.source.observer}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://dicom.nema.org/resources/ontology/DCM""/>
    <code value=""110152""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.role","AuditEvent.agent.role","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.name","AuditEvent.agent.name","","","",0,1,"","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network","AuditEvent.agent.network","","","",1,1,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:server.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user","AuditEvent.agent","user","ActiveParticipant
","",0,1,"","","","BackboneElement {[]} {[]}
","Actor involved in the event","An actor taking an active role in the event or activity that is logged.","Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.","An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.","","","","","","","",,,,,"",,,,"AuditEvent.agent",1,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.id","AuditEvent.agent.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.extension","AuditEvent.agent.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.modifierExtension","AuditEvent.agent.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.type","AuditEvent.agent.type","","","",1,1,"","","","CodeableConcept {[]} {[]}
","How agent participated","Specification of the participation type the user plays when performing the event.","","","","","","<valueCodeableConcept xmlns=""http://hl7.org/fhir"">
  <coding>
    <system value=""http://terminology.hl7.org/CodeSystem/v3-ParticipationType""/>
    <code value=""IRCP""/>
  </coding>
</valueCodeableConcept>","","","",,"extensible","The Participation type of the agent to the event.","http://hl7.org/fhir/ValueSet/participation-role-type|4.0.1","",,,,"AuditEvent.agent.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.role","AuditEvent.agent.role","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Agent role in the event","The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.","Should be roles relevant to the event. Should  not be an exhaustive list of roles.","This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.","","","","","","","",,"example","What security role enabled the agent to participate in the event.","http://hl7.org/fhir/ValueSet/security-role-type|4.0.1","",,,,"AuditEvent.agent.role",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.who","AuditEvent.agent.who","","userId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","Identifier of who","Reference to who this agent is that was involved in the event.","Where a User ID is available it will go into who.identifier.","This field ties an audit event to a specific resource or identifier.","","","","","","","",,,,,"",,,,"AuditEvent.agent.who",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.altId","AuditEvent.agent.altId","","","",0,1,"","","","string {[]} {[]}
","Alternative User identity","Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.","","In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some ""single sign on"" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.","","","","","","","",,,,,"",,,,"AuditEvent.agent.altId",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.name","AuditEvent.agent.name","","","",0,1,"Y","","","string {[]} {[]}
","Human friendly name for the agent","Human-meaningful name for the agent.","","The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.","","","","","","","",,,,,"",,,,"AuditEvent.agent.name",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.requestor","AuditEvent.agent.requestor","","","",1,1,"","","Y","boolean {[]} {[]}
","Whether user is initiator","Indicator that the user is or is not the requestor, or initiator, for the event being audited.","There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.","This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.","","","","<valueBoolean xmlns=""http://hl7.org/fhir"" value=""true""/>","","","",,,,,"",,,,"AuditEvent.agent.requestor",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.location","AuditEvent.agent.location","","","",0,1,"","","","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Location|4.0.1]]}
","Where","Where the event occurred.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.location",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.policy","AuditEvent.agent.policy","","","",0,*,"","","","uri {[]} {[]}
","Policy that authorized event","The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.","For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.","This value is used retrospectively to determine the authorization policies.","","","","","","","",,,,,"",,,,"AuditEvent.agent.policy",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.media","AuditEvent.agent.media","","","",0,0,"","","","Coding {[]} {[]}
","Type of media","Type of media involved. Used when the event is about exporting/importing onto media.","","Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).","","","","","","","",,"extensible","Used when the event is about exporting/importing onto media.","http://hl7.org/fhir/ValueSet/dicm-405-mediatype|4.0.1","",,,,"AuditEvent.agent.media",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network","AuditEvent.agent.network","","","",0,0,"","","","BackboneElement {[]} {[]}
","Logical network location for application activity","Logical network location for application activity, if the activity has a network location.","","","","","","","","","",,,,,"",,,,"AuditEvent.agent.network",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network.id","AuditEvent.agent.network.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network.extension","AuditEvent.agent.network.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network.modifierExtension","AuditEvent.agent.network.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network.address","AuditEvent.agent.network.address","","","",0,1,"","","","string {[]} {[]}
","Identifier for the network access point of the user device","An identifier for the network access point of the user device for the audit event.","This could be a device id, IP address or some other identifier associated with a device.","This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.","","","","","","","",,,,,"",,,,"AuditEvent.agent.network.address",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.network.type","AuditEvent.agent.network.type","","","",0,1,"","","","code {[]} {[]}
","The type of network access point","An identifier for the type of network access point that originated the audit event.","","This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.","","","","","","","",,"required","The type of network access point of this agent in the audit event.","http://hl7.org/fhir/ValueSet/network-type|4.0.1","",,,,"AuditEvent.agent.network.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.agent:user.purposeOfUse","AuditEvent.agent.purposeOfUse","","","",0,*,"Y","","","CodeableConcept {[]} {[]}
","Reason given for this user","The reason (purpose of use), specific to this agent, that was used during the event being recorded.","Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.","","","","","","","","",,"extensible","The reason the activity took place.","http://terminology.hl7.org/ValueSet/v3-PurposeOfUse","",,,,"AuditEvent.agent.purposeOfUse",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source","AuditEvent.source","","","",1,1,"Y","","","BackboneElement {[]} {[]}
","Audit Event Reporter","The system that is reporting the event.","Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.","The event is reported by one source.","","","","","","","",,,,,"",,,,"AuditEvent.source",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.id","AuditEvent.source.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.extension","AuditEvent.source.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.modifierExtension","AuditEvent.source.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.site","AuditEvent.source.site","","","",0,1,"","","","string {[]} {[]}
","Logical source location within the enterprise","Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.","","This value differentiates among the sites in a multi-site enterprise health information system.","","","","","","","",,,,,"",,,,"AuditEvent.source.site",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.observer","AuditEvent.source.observer","","SourceId
","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Device|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient|4.0.1], CanonicalType[http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1]]}
","The identity of source detecting the event","Identifier of the source where the event was detected.","","This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.","","","","","","","",,,,,"",,,,"AuditEvent.source.observer",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.source.type","AuditEvent.source.type","","","",0,*,"","","","Coding {[]} {[]}
","The type of source where event originated","Code specifying the type of source where event originated.","","This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.","","","","","","","",,"extensible","Code specifying the type of system that detected and recorded the event.","http://hl7.org/fhir/ValueSet/audit-source-type|4.0.1","",,,,"AuditEvent.source.type",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity","AuditEvent.entity","","ParticipantObject
","",2,*,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"","value:type}
","",,"open","AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.type","AuditEvent.entity.type","","","",0,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction","AuditEvent.entity","transaction","ParticipantObject
","",0,1,"","","","BackboneElement {[]} {[]}
","Data or objects used","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what","AuditEvent.entity.what","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier","AuditEvent.entity.what.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.id","AuditEvent.entity.what.identifier.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.extension","AuditEvent.entity.what.identifier.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.use","AuditEvent.entity.what.identifier.use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.type","AuditEvent.entity.what.identifier.type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.system","AuditEvent.entity.what.identifier.system","","","",0,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Identifier.system is always case sensitive.","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.value","AuditEvent.entity.what.identifier.value","","","",1,1,"","","Y","string {[]} {[]}
","the value of X-Request-Id","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.period","AuditEvent.entity.what.identifier.period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.identifier.assigner","AuditEvent.entity.what.identifier.assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","Organization that issued id (may be just text)","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType""/>
  <code value=""XrequestId""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.role","AuditEvent.entity.role","","","",0,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:transaction.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query","AuditEvent.entity","query","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Search Parameters","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.what","AuditEvent.entity.what","","","",0,0,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Resource|4.0.1]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""2""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""24""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.lifecycle","AuditEvent.entity.lifecycle","","","",0,0,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","may contain the security labels on the Bundle search set returned","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.query","AuditEvent.entity.query","","","",1,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail","AuditEvent.entity.detail","","","",0,0,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:query.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient","AuditEvent.entity","patient","ParticipantObject
","",1,1,"","","","BackboneElement {[]} {[]}
","Patient","Specific instances of data or objects that have been accessed.","Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.","The event may have other entities involved.","","","","","","","",,,,,"",,,,"AuditEvent.entity",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
sev-1:Either a name or a query (NOT both) {name.empty() or query.empty()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.id","AuditEvent.entity.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.extension","AuditEvent.entity.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.modifierExtension","AuditEvent.entity.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what","AuditEvent.entity.what","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]}
","Specific instance of resource","Identifies a specific instance of the entity. The reference should be version specific.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.what",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.id","AuditEvent.entity.what.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.extension","AuditEvent.entity.what.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.reference","AuditEvent.entity.what.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.type","AuditEvent.entity.what.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.identifier","AuditEvent.entity.what.identifier","","","",1,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.what.display","AuditEvent.entity.what.display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.type","AuditEvent.entity.type","","","",1,1,"","","","Coding {[]} {[]}
","Type of entity involved","The type of the object that was involved in this audit event.","This value is distinct from the user's role or any user relationship to the entity.","To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/audit-entity-type""/>
  <code value=""1""/>
  <display value=""Person""/>
</valueCoding>","","","",,"extensible","Code for the entity type involved in the audit event.","http://hl7.org/fhir/ValueSet/audit-entity-type|4.0.1","",,,,"AuditEvent.entity.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.role","AuditEvent.entity.role","","","",1,1,"","","","Coding {[]} {[]}
","What role the entity played","Code representing the role the entity played in the event being audited.","","For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.","","","","<valueCoding xmlns=""http://hl7.org/fhir"">
  <system value=""http://terminology.hl7.org/CodeSystem/object-role""/>
  <code value=""1""/>
  <display value=""Patient""/>
</valueCoding>","","","",,"extensible","Code representing the role the entity played in the audit event.","http://hl7.org/fhir/ValueSet/object-role|4.0.1","",,,,"AuditEvent.entity.role",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.lifecycle","AuditEvent.entity.lifecycle","","","",0,1,"","","","Coding {[]} {[]}
","Life-cycle stage for the entity","Identifier for the data life-cycle stage for the entity.","This can be used to provide an audit trail for data, over time, as it passes through the system.","Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.","","","","","","","",,"extensible","Identifier for the data life-cycle stage for the entity.","http://hl7.org/fhir/ValueSet/object-lifecycle-events|4.0.1","",,,,"AuditEvent.entity.lifecycle",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.securityLabel","AuditEvent.entity.securityLabel","","","",0,*,"","","","Coding {[]} {[]}
","Security labels on the entity","Security labels for the identified entity.","Copied from entity meta security tags.","This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.","","","","","","","",,"extensible","Security Labels from the Healthcare Privacy and Security Classification System.","http://hl7.org/fhir/ValueSet/security-labels|4.0.1","",,,,"AuditEvent.entity.securityLabel",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.name","AuditEvent.entity.name","","","",0,1,"","","Y","string {[]} {[]}
","Descriptor for entity","A name of the entity in the audit event.","This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.name",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.description","AuditEvent.entity.description","","","",0,1,"","","","string {[]} {[]}
","Descriptive text","Text that describes the entity in more detail.","","Use only where entity can't be identified with an identifier.","","","","","","","",,,,,"",,,,"AuditEvent.entity.description",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.query","AuditEvent.entity.query","","","",0,1,"","","Y","base64Binary {[]} {[]}
","Query parameters","The query parameters for a query-type entities.","The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.","","","","","","","",,,,,"",,,,"AuditEvent.entity.query",0,1,"sev-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail","AuditEvent.entity.detail","","","",0,*,"","","","BackboneElement {[]} {[]}
","Additional Information about the entity","Tagged value pairs for conveying additional information about the entity.","","Implementation-defined data about specific details of the object accessed or used.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail.id","AuditEvent.entity.detail.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail.extension","AuditEvent.entity.detail.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail.modifierExtension","AuditEvent.entity.detail.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail.type","AuditEvent.entity.detail.type","","","",1,1,"","","","string {[]} {[]}
","Name of the property","The type of extra detail provided in the value.","","","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.type",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Audit.Manager","AuditEvent.entity:patient.detail.value[x]","AuditEvent.entity.detail.value[x]","","","",1,1,"","","","string {[]} {[]}
base64Binary {[]} {[]}","Property value","The  value of the extra detail.","The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.","Should not duplicate the entity value unless absolutely necessary.","","","","","","","",,,,,"",,,,"AuditEvent.entity.detail.value[x]",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters","Parameters","","","",0,*,"","","","null {[]} {[]}
","Operation Request or Response","This resource is a non-persisted resource used to pass information into and back from an [operation](http://hl7.org/fhir/R4/operations.html). It has no other use, and there is no RESTful endpoint associated with it.","The parameters that may be used are defined by the OperationDefinition resource.","","","","","","","","",,,,,"",,,,"Parameters",0,*,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.id","Parameters.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.meta","Parameters.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.implicitRules","Parameters.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.language","Parameters.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter","Parameters.parameter","","","",1,*,"","","Y","BackboneElement {[]} {[]}
","Operation Parameter","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"","value:name}
","allowed parameters are sourceIdentifier, targetSystem and _format",,"open","Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.value[x]","Parameters.parameter.value[x]","","","",0,1,"","","Y","base64Binary {[]} {[]}
boolean {[]} {[]}canonical {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}url {[]} {[]}uuid {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}ContactDetail {[]} {[]}Contributor {[]} {[]}DataRequirement {[]} {[]}Expression {[]} {[]}ParameterDefinition {[]} {[]}RelatedArtifact {[]} {[]}TriggerDefinition {[]} {[]}UsageContext {[]} {[]}Dosage {[]} {[]}Meta {[]} {[]}","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier","Parameters.parameter","sourceIdentifier","","",1,1,"","","Y","BackboneElement {[]} {[]}
","sourceIdentifier","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"",,,,"Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""sourceIdentifier""/>","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.value[x]","Parameters.parameter.value[x]","","","",1,1,"","","Y","string {[]} {[]}
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"","type:$this}
","",,"closed","Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.value[x]:valueString","Parameters.parameter.value[x]","valueString","","",1,1,"","","Y","string {[]} {[]}
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:sourceIdentifier.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem","Parameters.parameter","targetSystem","","",0,*,"","","Y","BackboneElement {[]} {[]}
","targetSystem","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"",,,,"Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""targetSystem""/>","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.value[x]","Parameters.parameter.value[x]","","","",1,1,"","","Y","string {[]} {[]}
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:targetSystem.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format","Parameters.parameter","_format","","",0,1,"","","Y","BackboneElement {[]} {[]}
","_format","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"",,,,"Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""_format""/>","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.value[x]","Parameters.parameter.value[x]","","","",1,1,"","","Y","string {[]} {[]}
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.In","Parameters.parameter:_format.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters","Parameters","","","",0,*,"","","","null {[]} {[]}
","Operation Request or Response","This resource is a non-persisted resource used to pass information into and back from an [operation](http://hl7.org/fhir/R4/operations.html). It has no other use, and there is no RESTful endpoint associated with it.","The parameters that may be used are defined by the OperationDefinition resource.","","","","","","","","",,,,,"",,,,"Parameters",0,*,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.id","Parameters.id","","","",0,1,"","","Y","id {[]} {[]}
","Logical id of this artifact","The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","The only time that a resource does not have an id is when it is being submitted to the server using a create operation.","","","","","","","","",,,,,"",,,,"Resource.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.meta","Parameters.meta","","","",0,1,"","","Y","Meta {[]} {[]}
","Metadata about the resource","The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","","","","","","","","","",,,,,"",,,,"Resource.meta",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.implicitRules","Parameters.implicitRules","","","",0,1,"","Y","Y","uri {[]} {[]}
","A set of rules under which this content was created","A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.","","","","","","","","",,,,,"",,,,"Resource.implicitRules",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.language","Parameters.language","","","",0,1,"","","","code {[]} {[]}
","Language of the resource content","The base language in which the resource is written.","Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","","","","","","","","",,"preferred","A human language.","http://hl7.org/fhir/ValueSet/languages|4.0.1","",,,,"Resource.language",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter","Parameters.parameter","","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Operation Parameter","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"","value:name}
","allowed parameters are targetId and targetIdentifier",,"open","Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.value[x]","Parameters.parameter.value[x]","","","",0,1,"","","Y","base64Binary {[]} {[]}
boolean {[]} {[]}canonical {[]} {[]}code {[]} {[]}date {[]} {[]}dateTime {[]} {[]}decimal {[]} {[]}id {[]} {[]}instant {[]} {[]}integer {[]} {[]}markdown {[]} {[]}oid {[]} {[]}positiveInt {[]} {[]}string {[]} {[]}time {[]} {[]}unsignedInt {[]} {[]}uri {[]} {[]}url {[]} {[]}uuid {[]} {[]}Address {[]} {[]}Age {[]} {[]}Annotation {[]} {[]}Attachment {[]} {[]}CodeableConcept {[]} {[]}Coding {[]} {[]}ContactPoint {[]} {[]}Count {[]} {[]}Distance {[]} {[]}Duration {[]} {[]}HumanName {[]} {[]}Identifier {[]} {[]}Money {[]} {[]}Period {[]} {[]}Quantity {[]} {[]}Range {[]} {[]}Ratio {[]} {[]}Reference {[]} {[]}SampledData {[]} {[]}Signature {[]} {[]}Timing {[]} {[]}ContactDetail {[]} {[]}Contributor {[]} {[]}DataRequirement {[]} {[]}Expression {[]} {[]}ParameterDefinition {[]} {[]}RelatedArtifact {[]} {[]}TriggerDefinition {[]} {[]}UsageContext {[]} {[]}Dosage {[]} {[]}Meta {[]} {[]}","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier","Parameters.parameter","targetIdentifier","","",0,*,"","","Y","BackboneElement {[]} {[]}
","targetIdentifier","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"",,,,"Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""targetIdentifier""/>","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x]","Parameters.parameter.value[x]","","","",1,1,"","","Y","Identifier {[]} {[]}
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].id","Parameters.parameter.value[x].id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].extension","Parameters.parameter.value[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].use","Parameters.parameter.value[x].use","","","",0,1,"","Y","Y","code {[]} {[]}
","usual | official | temp | secondary | old (If known)","The purpose of this identifier.","Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.","Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.","","","","","","","",,"required","Identifies the purpose for this identifier, if known .","http://hl7.org/fhir/ValueSet/identifier-use|4.0.1","",,,,"Identifier.use",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].type","Parameters.parameter.value[x].type","","","",0,1,"","","Y","CodeableConcept {[]} {[]}
","Description of identifier","A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.","This element deals only with general categories of identifiers.  It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage.   Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.","Allows users to make use of identifiers when the identifier system is not known.","","","","","","","",,"extensible","A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.","http://hl7.org/fhir/ValueSet/identifier-type|4.0.1","",,,,"Identifier.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].system","Parameters.parameter.value[x].system","","","",1,1,"","","Y","uri {[]} {[]}
","The namespace for the identifier value","Establishes the namespace for the value - that is, a URL that describes a set values that are unique.","Both the value and system shall be populated. (See [IHE ITI TF-2 Z.9.1 Identifier Type](https://profiles.ihe.net/ITI/TF/Volume2/ch-Z.html#z.9.1-identifier-type))","There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.","","","","","<valueUri xmlns=""http://hl7.org/fhir"" value=""http://www.acme.com/identifiers/patient""/>","","",,,,,"",,,,"Identifier.system",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].value","Parameters.parameter.value[x].value","","","",1,1,"","","Y","string {[]} {[]}
","The value that is unique","The portion of the identifier typically relevant to the user and which is unique within the context of the system.","If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.","","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""123456""/>","","",,,,,"",,,,"Identifier.value",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].period","Parameters.parameter.value[x].period","","","",0,1,"","","Y","Period {[]} {[]}
","Time period when id is/was valid for use","Time period during which identifier is/was valid for use.","","","","","","","","","",,,,,"",,,,"Identifier.period",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner","Parameters.parameter.value[x].assigner","","","",0,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Organization|4.0.1]]}
","When the assigning authority name is provided, the actor shall also populate the assigner.","Organization that issued/manages the identifier.","The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.","","","","","","","","",,,,,"",,,,"Identifier.assigner",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.id","Parameters.parameter.value[x].assigner.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.extension","Parameters.parameter.value[x].assigner.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.reference","Parameters.parameter.value[x].assigner.reference","","","",0,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.type","Parameters.parameter.value[x].assigner.type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.identifier","Parameters.parameter.value[x].assigner.identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.value[x].assigner.display","Parameters.parameter.value[x].assigner.display","","","",1,1,"","","Y","string {[]} {[]}
","When the assigning authority name is provided, the actor shall also populate the display attribute.","Plain text narrative that identifies the resource in addition to the resource reference.","When the assigning authority name is provided, the actor shall also populate the display attribute. (IHE [ITI TF-2: Appendix E.3](https://profiles.ihe.net/ITI/TF/Volume2/ch-E.html#E.3))","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetIdentifier.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId","Parameters.parameter","targetId","","",0,*,"","","Y","BackboneElement {[]} {[]}
","Operation Parameter","A parameter passed to or received from the operation.","","","","","","","","","",,,,,"",,,,"Parameters.parameter",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
inv-1:A parameter must have one and only one of (value, resource, part) {(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.id","Parameters.parameter.id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.extension","Parameters.parameter.extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"",,,,"Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.modifierExtension","Parameters.parameter.modifierExtension","","extensions
user contentmodifiers","",0,*,"","Y","Y","Extension {[]} {[]}
","Extensions that cannot be ignored even if unrecognized","May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).","","","","","","","",,,,,"",,,,"BackboneElement.modifierExtension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.name","Parameters.parameter.name","","","",1,1,"","","Y","string {[]} {[]}
","Name from the definition","The name of the parameter (reference to the operation definition).","","","","","<valueString xmlns=""http://hl7.org/fhir"" value=""targetId""/>","","","","",,,,,"",,,,"Parameters.parameter.name",1,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x]","Parameters.parameter.value[x]","","","",1,1,"","","Y","Reference {[]} {[CanonicalType[http://hl7.org/fhir/StructureDefinition/Patient]]} (referenced
)
","If parameter is a data type","If the parameter is a data type.","","","","","","","","","",,,,,"",,,,"Parameters.parameter.value[x]",0,1,"inv-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].id","Parameters.parameter.value[x].id","","","",0,1,"","","","string {[]} {[]}
","Unique id for inter-element referencing","Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","","","","","","","","","",,,,,"",,,,"Element.id",0,1,"",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].extension","Parameters.parameter.value[x].extension","","extensions
user content","",0,*,"","","","Extension {[]} {[]}
","Additional content defined by implementations","May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","","","","","","","","",,,,,"","value:url}
","Extensions are always sliced by (at least) url",,"open","Element.extension",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
ext-1:Must have either extensions or value[x], not both {extension.exists() != value.exists()}"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].reference","Parameters.parameter.value[x].reference","","","",1,1,"","","Y","string {[]} {[]}
","Literal reference, Relative, internal or absolute URL","A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.","Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure ""/[type]/[id]"" then it should be assumed that the reference is to a FHIR RESTful server.","","","","","","","","",,,,,"",,,,"Reference.reference",0,1,"ref-1
","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].type","Parameters.parameter.value[x].type","","","",0,1,"","","Y","uri {[]} {[]}
","Type the reference refers to (e.g. ""Patient"")","The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. ""Patient"" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).","This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.","","","","","","","","",,"extensible","Aa resource (or, for logical models, the URI of the logical model).","http://hl7.org/fhir/ValueSet/resource-types|4.0.1","",,,,"Reference.type",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].identifier","Parameters.parameter.value[x].identifier","","","",0,1,"","","Y","Identifier {[]} {[]}
","Logical reference, when literal reference is not known","An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.","When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. 

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).","","","","","","","","",,,,,"",,,,"Reference.identifier",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.value[x].display","Parameters.parameter.value[x].display","","","",0,1,"","","Y","string {[]} {[]}
","Text alternative for the resource","Plain text narrative that identifies the resource in addition to the resource reference.","This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.","","","","","","","","",,,,,"",,,,"Reference.display",0,1,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.resource","Parameters.parameter.resource","","","",0,1,"","","Y","Resource {[]} {[]}
","If parameter is a whole resource","If the parameter is a whole resource.","When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.","","","","","","","","",,,,,"",,,,"Parameters.parameter.resource",0,1,"inv-1
",""
"IHE.PIXm.Query.Parameters.Out","Parameters.parameter:targetId.part","Parameters.parameter.part","","","",0,*,"","","Y","null {[]} {[]}
","Named part of a multi-part parameter","A named part of a multi-part parameter.","Only one level of nested parameters is allowed.","","","","","","","","",,,,,"",,,,"Parameters.parameter.part",0,*,"","ele-1:All FHIR elements must have a @value or children {hasValue() or (children().count() > id.count())}
"
