Patient Identifier Cross-referencing for mobile (PIXm)
3.1.0 - Trial-Implementation

Patient Identifier Cross-referencing for mobile (PIXm), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 3.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.PIXm/ and changes regularly. See the Directory of published versions

## Resource Profile: Audit Event for PIXm Query by the Manager

Official URL: https://profiles.ihe.net/ITI/PIXm/StructureDefinition/IHE.PIXm.Query.Audit.Manager | Version: 3.1.0
Active as of 2026-02-03 | Computable Name: AuditPixmQueryManager

Defines constraints on the AuditEvent (AuditMessage) Resource to record when a PIXm Query Transaction happens, as recorded by the Patient Identifier Cross-reference Manager.

- Build off of the IHE BasicAudit Patient Query event
- add the ITI-83 as a subtype
- client is Patient Identifier Cross-reference Consumer
- server is Patient Identifier Cross-reference Manager
- entity slice for query parameters
- eitity slice for a source patient identifier
- yes both entities likely say the same thing, but one is specifically the patient identifier, and the other is in query parameter format
- source is the server

Usages:

- Examples for this Profile: AuditEvent/ex-auditPixmQuery-manager

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | Σ | 1..1 | Coding | Type/identifier of event Binding: AuditEventID (extensible): Type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-event-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rest
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Slices for subtype | Σ | 2..* | Coding | More specific type/id for the event Slice: Unordered, Open by value:$this Binding: AuditEventSub-Type (extensible): Sub-type of event.
subtype:anySearch | Σ | 1..1 | Coding | More specific type/id for the event Binding: all Searches (required)
subtype:iti83 | Σ | 1..1 | Coding | More specific type/id for the event Binding: AuditEventSub-Type (extensible): Sub-type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
action | Σ | 0..1 | code | Type of action performed during the event Binding: AuditEventAction (required): Indicator for type of action performed during the event that generated the event. Required Pattern: E
recorded | Σ | 1..1 | instant | Time when the event was recorded
outcome | Σ | 1..1 | code | Whether the event succeeded or failed Binding: AuditEventOutcome (required): Indicates whether the event succeeded or failed. Required Pattern: 0
Slices for agent |  | 2..* | BackboneElement | Actor involved in the event Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
requestor | Σ | 1..1 | boolean | Whether user is initiator
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110153
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
requestor | Σ | 1..1 | boolean | Whether user is initiator
network |  | 1..1 | BackboneElement | Logical network location for application activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110152
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
requestor | Σ | 1..1 | boolean | Whether user is initiator
network |  | 1..1 | BackboneElement | Logical network location for application activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
agent:user |  | 0..1 | BackboneElement | Actor involved in the event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IRCP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role | S | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
name | S | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator Required Pattern: true
purposeOfUse | S | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
source | S | 1..1 | BackboneElement | Audit Event Reporter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
observer | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | The identity of source detecting the event
Slices for entity | C | 2..* | BackboneElement | Data or objects used Slice: Unordered, Open by value:type Constraints: sev-1
entity:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
entity:transaction | C | 0..1 | BackboneElement | Data or objects used Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: XrequestId
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
entity:query | C | 1..1 | BackboneElement | Search Parameters Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 24
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
query | Σ C | 1..1 | base64Binary | Query parameters
entity:patient | C | 1..1 | BackboneElement | Patient Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 1..1 | Reference(Patient) | Specific instance of resource
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AuditEvent.type | Base | extensible | Audit Event ID | 📍4.0.1 | FHIR Std.
AuditEvent.subtype | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.subtype:anySearch | Base | required | all Searches | 📦1.1.4 | Basic Audit Log Patterns v1.1
AuditEvent.subtype:iti83 | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.action | Base | required | AuditEventAction | 📍4.0.1 | FHIR Std.
AuditEvent.outcome | Base | required | AuditEventOutcome | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.entity:transaction.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | AuditEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AuditEvent | 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 | error | AuditEvent | 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 | error | AuditEvent | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AuditEvent | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
sev-1 | error | AuditEvent.entity, AuditEvent.entity:transaction, AuditEvent.entity:query, AuditEvent.entity:patient | Either a name or a query (NOT both) | `name.empty() or query.empty()`
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

This structure is derived from PatientQuery

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
modifierExtension |  | 0..0 |  | Extension
subtype |  | 2..* | Coding | More specific type/id for the event
Slices for subtype |  |  |  | Content/Rules for all slices
subtype:iti83 |  | 1..1 | Coding | More specific type/id for the event Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
Slices for agent |  |  |  | Content/Rules for all slices
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
Slices for entity |  |  |  | Content/Rules for all slices
entity:query |  | 1..1 | BackboneElement | Search Parameters
entity:patient |  | 1..1 | BackboneElement | Patient
what |  |  |  |
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | Coding | Type of entity involved Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
role |  | 1..1 | Coding | What role the entity played Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
type | Σ | 1..1 | Coding | Type/identifier of event Binding: AuditEventID (extensible): Type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-event-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rest
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Slices for subtype | Σ | 2..* | Coding | More specific type/id for the event Slice: Unordered, Open by value:$this Binding: AuditEventSub-Type (extensible): Sub-type of event.
subtype:anySearch | Σ | 1..1 | Coding | More specific type/id for the event Binding: all Searches (required)
subtype:iti83 | Σ | 1..1 | Coding | More specific type/id for the event Binding: AuditEventSub-Type (extensible): Sub-type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
action | Σ | 0..1 | code | Type of action performed during the event Binding: AuditEventAction (required): Indicator for type of action performed during the event that generated the event. Required Pattern: E
period |  | 0..1 | Period | When the activity occurred
recorded | Σ | 1..1 | instant | Time when the event was recorded
outcome | Σ | 1..1 | code | Whether the event succeeded or failed Binding: AuditEventOutcome (required): Indicates whether the event succeeded or failed. Required Pattern: 0
outcomeDesc | Σ | 0..1 | string | Description of the event outcome
purposeOfEvent | Σ | 0..* | CodeableConcept | The purposeOfUse of the event Binding: PurposeOfUse (extensible): The reason the activity took place.
Slices for agent |  | 2..* | BackboneElement | Actor involved in the event Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event.
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 0..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
media |  | 0..1 | Coding | Type of media Binding: MediaTypeCode (extensible): Used when the event is about exporting/importing onto media.
network |  | 0..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110153
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
network |  | 1..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110152
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
network |  | 1..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:user |  | 0..1 | BackboneElement | Actor involved in the event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IRCP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role | S | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name | S | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator Required Pattern: true
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
purposeOfUse | S | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
source | S | 1..1 | BackboneElement | Audit Event Reporter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
site |  | 0..1 | string | Logical source location within the enterprise
observer | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | The identity of source detecting the event
type |  | 0..* | Coding | The type of source where event originated Binding: AuditEventSourceType (extensible): Code specifying the type of system that detected and recorded the event.
Slices for entity | C | 2..* | BackboneElement | Data or objects used Slice: Unordered, Open by value:type Constraints: sev-1
entity:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 0..1 | Reference(Resource) | Specific instance of resource
type |  | 0..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event.
role |  | 0..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event.
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
entity:transaction | C | 0..1 | BackboneElement | Data or objects used Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 0..1 | Reference(Resource) | Specific instance of resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | the value of X-Request-Id Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: XrequestId
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 0..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event.
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
entity:query | C | 1..1 | BackboneElement | Search Parameters Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 24
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
securityLabel |  | 0..* | Coding | may contain the security labels on the Bundle search set returned Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 1..1 | base64Binary | Query parameters
entity:patient | C | 1..1 | BackboneElement | Patient Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 1..1 | Reference(Patient) | Specific instance of resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AuditEvent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
AuditEvent.type | Base | extensible | Audit Event ID | 📍4.0.1 | FHIR Std.
AuditEvent.subtype | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.subtype:anySearch | Base | required | all Searches | 📦1.1.4 | Basic Audit Log Patterns v1.1
AuditEvent.subtype:iti83 | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.action | Base | required | AuditEventAction | 📍4.0.1 | FHIR Std.
AuditEvent.outcome | Base | required | AuditEventOutcome | 📍4.0.1 | FHIR Std.
AuditEvent.purposeOfEvent | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent.type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.media | Base | extensible | Media Type Code | 📍4.0.1 | FHIR Std.
AuditEvent.agent.network.​type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:client.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:server.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:user.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.source.type | Base | extensible | Audit Event Source Type | 📍4.0.1 | FHIR Std.
AuditEvent.entity.type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity.role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity.lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​what.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | AuditEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AuditEvent | 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 | error | AuditEvent | 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 | error | AuditEvent | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AuditEvent | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
sev-1 | error | AuditEvent.entity, AuditEvent.entity:transaction, AuditEvent.entity:query, AuditEvent.entity:patient | Either a name or a query (NOT both) | `name.empty() or query.empty()`
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

This structure is derived from PatientQuery

Summary

Mandatory: 2 elements
Prohibited: 1 element

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
type | Σ | 1..1 | Coding | Type/identifier of event Binding: AuditEventID (extensible): Type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-event-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rest
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Slices for subtype | Σ | 2..* | Coding | More specific type/id for the event Slice: Unordered, Open by value:$this Binding: AuditEventSub-Type (extensible): Sub-type of event.
subtype:anySearch | Σ | 1..1 | Coding | More specific type/id for the event Binding: all Searches (required)
subtype:iti83 | Σ | 1..1 | Coding | More specific type/id for the event Binding: AuditEventSub-Type (extensible): Sub-type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
action | Σ | 0..1 | code | Type of action performed during the event Binding: AuditEventAction (required): Indicator for type of action performed during the event that generated the event. Required Pattern: E
recorded | Σ | 1..1 | instant | Time when the event was recorded
outcome | Σ | 1..1 | code | Whether the event succeeded or failed Binding: AuditEventOutcome (required): Indicates whether the event succeeded or failed. Required Pattern: 0
Slices for agent |  | 2..* | BackboneElement | Actor involved in the event Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
requestor | Σ | 1..1 | boolean | Whether user is initiator
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110153
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
requestor | Σ | 1..1 | boolean | Whether user is initiator
network |  | 1..1 | BackboneElement | Logical network location for application activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110152
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
requestor | Σ | 1..1 | boolean | Whether user is initiator
network |  | 1..1 | BackboneElement | Logical network location for application activity
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
agent:user |  | 0..1 | BackboneElement | Actor involved in the event
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IRCP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role | S | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
name | S | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator Required Pattern: true
purposeOfUse | S | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
source | S | 1..1 | BackboneElement | Audit Event Reporter
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
observer | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | The identity of source detecting the event
Slices for entity | C | 2..* | BackboneElement | Data or objects used Slice: Unordered, Open by value:type Constraints: sev-1
entity:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
entity:transaction | C | 0..1 | BackboneElement | Data or objects used Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: XrequestId
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
entity:query | C | 1..1 | BackboneElement | Search Parameters Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 24
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
query | Σ C | 1..1 | base64Binary | Query parameters
entity:patient | C | 1..1 | BackboneElement | Patient Constraints: sev-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 1..1 | Reference(Patient) | Specific instance of resource
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AuditEvent.type | Base | extensible | Audit Event ID | 📍4.0.1 | FHIR Std.
AuditEvent.subtype | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.subtype:anySearch | Base | required | all Searches | 📦1.1.4 | Basic Audit Log Patterns v1.1
AuditEvent.subtype:iti83 | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.action | Base | required | AuditEventAction | 📍4.0.1 | FHIR Std.
AuditEvent.outcome | Base | required | AuditEventOutcome | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.entity:transaction.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | AuditEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AuditEvent | 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 | error | AuditEvent | 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 | error | AuditEvent | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AuditEvent | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
sev-1 | error | AuditEvent.entity, AuditEvent.entity:transaction, AuditEvent.entity:query, AuditEvent.entity:patient | Either a name or a query (NOT both) | `name.empty() or query.empty()`
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

Differential View

This structure is derived from PatientQuery

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
modifierExtension |  | 0..0 |  | Extension
subtype |  | 2..* | Coding | More specific type/id for the event
Slices for subtype |  |  |  | Content/Rules for all slices
subtype:iti83 |  | 1..1 | Coding | More specific type/id for the event Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
Slices for agent |  |  |  | Content/Rules for all slices
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
Slices for entity |  |  |  | Content/Rules for all slices
entity:query |  | 1..1 | BackboneElement | Search Parameters
entity:patient |  | 1..1 | BackboneElement | Patient
what |  |  |  |
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | Coding | Type of entity involved Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
role |  | 1..1 | Coding | What role the entity played Required Pattern: At least the following
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
AuditEvent |  | 0..* | PatientQuery | Event record kept for security purposes
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
type | Σ | 1..1 | Coding | Type/identifier of event Binding: AuditEventID (extensible): Type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-event-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rest
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
Slices for subtype | Σ | 2..* | Coding | More specific type/id for the event Slice: Unordered, Open by value:$this Binding: AuditEventSub-Type (extensible): Sub-type of event.
subtype:anySearch | Σ | 1..1 | Coding | More specific type/id for the event Binding: all Searches (required)
subtype:iti83 | Σ | 1..1 | Coding | More specific type/id for the event Binding: AuditEventSub-Type (extensible): Sub-type of event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: urn:ihe:event-type-code
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: ITI-83
display |  | 1..1 | string | Representation defined by the system Fixed Value: Mobile Patient Identifier Cross-reference Query
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
action | Σ | 0..1 | code | Type of action performed during the event Binding: AuditEventAction (required): Indicator for type of action performed during the event that generated the event. Required Pattern: E
period |  | 0..1 | Period | When the activity occurred
recorded | Σ | 1..1 | instant | Time when the event was recorded
outcome | Σ | 1..1 | code | Whether the event succeeded or failed Binding: AuditEventOutcome (required): Indicates whether the event succeeded or failed. Required Pattern: 0
outcomeDesc | Σ | 0..1 | string | Description of the event outcome
purposeOfEvent | Σ | 0..* | CodeableConcept | The purposeOfUse of the event Binding: PurposeOfUse (extensible): The reason the activity took place.
Slices for agent |  | 2..* | BackboneElement | Actor involved in the event Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 0..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event.
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 0..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
media |  | 0..1 | Coding | Type of media Binding: MediaTypeCode (extensible): Used when the event is about exporting/importing onto media.
network |  | 0..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:client |  | 1..1 | BackboneElement | Patient Identifier Cross-reference Consumer
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110153
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
network |  | 1..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:server | C | 1..1 | BackboneElement | Patient Identifier Cross-reference Manager Constraints: val-audit-source
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 110152
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name |  | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
network |  | 1..1 | BackboneElement | Logical network location for application activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
address |  | 0..1 | string | Identifier for the network access point of the user device
type |  | 0..1 | code | The type of network access point Binding: AuditEventAgentNetworkType (required): The type of network access point of this agent in the audit event.
purposeOfUse |  | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
agent:user |  | 0..1 | BackboneElement | Actor involved in the event
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | CodeableConcept | How agent participated Binding: ParticipationRoleType (extensible): The Participation type of the agent to the event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IRCP
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role | S | 0..* | CodeableConcept | Agent role in the event Binding: SecurityRoleType (example): What security role enabled the agent to participate in the event.
who | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | Identifier of who
altId |  | 0..1 | string | Alternative User identity
name | S | 0..1 | string | Human friendly name for the agent
requestor | Σ | 1..1 | boolean | Whether user is initiator Required Pattern: true
location |  | 0..1 | Reference(Location) | Where
policy |  | 0..* | uri | Policy that authorized event
purposeOfUse | S | 0..* | CodeableConcept | Reason given for this user Binding: PurposeOfUse (extensible): The reason the activity took place.
source | S | 1..1 | BackboneElement | Audit Event Reporter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
site |  | 0..1 | string | Logical source location within the enterprise
observer | Σ | 1..1 | Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson) | The identity of source detecting the event
type |  | 0..* | Coding | The type of source where event originated Binding: AuditEventSourceType (extensible): Code specifying the type of system that detected and recorded the event.
Slices for entity | C | 2..* | BackboneElement | Data or objects used Slice: Unordered, Open by value:type Constraints: sev-1
entity:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 0..1 | Reference(Resource) | Specific instance of resource
type |  | 0..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event.
role |  | 0..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event.
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
entity:transaction | C | 0..1 | BackboneElement | Data or objects used Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 0..1 | Reference(Resource) | Specific instance of resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 1..1 | string | the value of X-Request-Id Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: https://profiles.ihe.net/ITI/BALP/CodeSystem/BasicAuditEntityType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: XrequestId
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 0..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event.
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
entity:query | C | 1..1 | BackboneElement | Search Parameters Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 24
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
securityLabel |  | 0..* | Coding | may contain the security labels on the Bundle search set returned Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 1..1 | base64Binary | Query parameters
entity:patient | C | 1..1 | BackboneElement | Patient Constraints: sev-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
what | Σ | 1..1 | Reference(Patient) | Specific instance of resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
type |  | 1..1 | Coding | Type of entity involved Binding: AuditEventEntityType (extensible): Code for the entity type involved in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/audit-entity-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Person
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
role |  | 1..1 | Coding | What role the entity played Binding: AuditEventEntityRole (extensible): Code representing the role the entity played in the audit event. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/object-role
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1
display |  | 1..1 | string | Representation defined by the system Fixed Value: Patient
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
lifecycle |  | 0..1 | Coding | Life-cycle stage for the entity Binding: ObjectLifecycleEvents (extensible): Identifier for the data life-cycle stage for the entity.
securityLabel |  | 0..* | Coding | Security labels on the entity Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
name | Σ C | 0..1 | string | Descriptor for entity
description |  | 0..1 | string | Descriptive text
query | Σ C | 0..1 | base64Binary | Query parameters
detail |  | 0..* | BackboneElement | Additional Information about the entity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type |  | 1..1 | string | Name of the property
value[x] |  | 1..1 |  | Property value
valueString |  |  | string |
valueBase64Binary |  |  | base64Binary |
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
AuditEvent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
AuditEvent.type | Base | extensible | Audit Event ID | 📍4.0.1 | FHIR Std.
AuditEvent.subtype | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.subtype:anySearch | Base | required | all Searches | 📦1.1.4 | Basic Audit Log Patterns v1.1
AuditEvent.subtype:iti83 | Base | extensible | Audit Event Sub-Type | 📍4.0.1 | FHIR Std.
AuditEvent.action | Base | required | AuditEventAction | 📍4.0.1 | FHIR Std.
AuditEvent.outcome | Base | required | AuditEventOutcome | 📍4.0.1 | FHIR Std.
AuditEvent.purposeOfEvent | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent.type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.media | Base | extensible | Media Type Code | 📍4.0.1 | FHIR Std.
AuditEvent.agent.network.​type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent.purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:client.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:client.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:server.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:server.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.agent:user.​type | Base | extensible | ParticipationRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​network.type | Base | required | AuditEventAgentNetworkType | 📍4.0.1 | FHIR Std.
AuditEvent.agent:user.​purposeOfUse | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
AuditEvent.source.type | Base | extensible | Audit Event Source Type | 📍4.0.1 | FHIR Std.
AuditEvent.entity.type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity.role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity.lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​what.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity:transaction.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:query.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​what.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​type | Base | extensible | Audit event entity type | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​role | Base | extensible | AuditEventEntityRole | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​lifecycle | Base | extensible | ObjectLifecycleEvents | 📍4.0.1 | FHIR Std.
AuditEvent.entity:patient.​securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | AuditEvent | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | AuditEvent | 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 | error | AuditEvent | 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 | error | AuditEvent | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | AuditEvent | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
sev-1 | error | AuditEvent.entity, AuditEvent.entity:transaction, AuditEvent.entity:query, AuditEvent.entity:patient | Either a name or a query (NOT both) | `name.empty() or query.empty()`
val-audit-source | error | AuditEvent.agent:server | The Audit Source is this agent too. | `$this.who = %resource.source.observer`

This structure is derived from PatientQuery

Summary

Mandatory: 2 elements
Prohibited: 1 element

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