Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.9.1 - draft Chile flag

Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 1.9.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/clcore_ig/ and changes regularly. See the Directory of published versions

Resource Profile: AuditEventCl - Detailed Descriptions

Active as of 2024-10-01

Definitions for the AuditEventCl resource profile.

Guidance on how to interpret the contents of this table can be found here

0. AuditEvent
2. AuditEvent.type
Definition

Identificador de una familia del evento. Por ejemplo, un elemento de menú, un programa, una regla, una política, un código de función, un nombre de aplicación o una URL. Identifica la función realizada.

ShortTipo/identificación del Evento
BindingUnless not suitable, these codes SHALL be taken from AuditEventID
(extensible to http://hl7.org/fhir/ValueSet/audit-event-type)

Eventos de auditoría descritos en FHIR para DICOM

Must Supporttrue
4. AuditEvent.subtype
ShortEspecificacion mas detallada del evento
BindingUnless not suitable, these codes SHALL be taken from AuditEventSub-Type
(extensible to http://hl7.org/fhir/ValueSet/audit-event-sub-type)

Códigos de desarrollados para DICOM

Must Supporttrue
6. AuditEvent.subtype.system
Definition

Sistema de ejemplo de códigos que describen con mas detalle el evento

ShortSistema de Códigos
8. AuditEvent.action
Definition

Código de la acción

ShortCreate| Read/View/Print | Update | Delete | Execute
BindingThe codes SHALL be taken from AuditEventAction
(required to http://hl7.org/fhir/ValueSet/audit-event-action)

Códigos fijos extraídos de un set de DICOM por FHIR

Must Supporttrue
10. AuditEvent.period
Must Supporttrue
12. AuditEvent.recorded
Definition

Momento cuando el evento fue guardado

ShortMomento cuando el evento fue guardado
Must Supporttrue
14. AuditEvent.outcome
ShortResultado de la operación
BindingThe codes SHALL be taken from AuditEventOutcome
(required to http://hl7.org/fhir/ValueSet/audit-event-outcome)

Códigos extraídos de DICOM

Must Supporttrue
16. AuditEvent.agent
Definition

Mínimo debe indicar quien requirió del recurso

ShortQuienes actuaron en el evento
Must Supporttrue
18. AuditEvent.agent.who
Definition

Referencia al recurso o Identificación de quien realizó la acción

ShortQuien realizó la acción
TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
20. AuditEvent.agent.requestor
Definition

indicador de si Who es quien requirió la acción

Shortindicador de si Who es quien requirió la acción
22. AuditEvent.agent.network
Definition

Ubicación de red lógica para la actividad de la aplicación, si la actividad tiene una ubicación de red.

ShortUbicación de la Red de la Aplicación
Must Supporttrue
24. AuditEvent.agent.network.address
Definition

Un identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.

ShortDirección del Punto de Acceso
Must Supporttrue
26. AuditEvent.agent.network.type
Definition

Un tipo de identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.

ShortCódigo del tipo de identificación
BindingThe codes SHALL be taken from AuditEventAgentNetworkType
(required to http://hl7.org/fhir/ValueSet/network-type)

Códigos extraídos de un set DICOM por FHIR

Must Supporttrue
28. AuditEvent.source
Definition

Sitio en donde se reporta el evento

ShortQuien reporta el evento
Must Supporttrue
30. AuditEvent.source.observer
Definition

Identificación del Observador donde se reportó el evento

ShortEntidad que reporta el evento
TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson)
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
32. AuditEvent.entity
Definition

Entidad que registra la ocurrencia del Evento

ShortEntidad que registra la ocurrencia del Evento
Must Supporttrue
34. AuditEvent.entity.what
Definition

Recurso o identificación de la entidad que registra la ocurrencia del evento

ShortRecurso o identificación de la entidad que registra la ocurrencia del evento
Must Supporttrue

Guidance on how to interpret the contents of this table can be found here

0. AuditEvent
Definition

A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.

ShortEvent record kept for security purposes
Comments

Based on IHE-ATNA.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. AuditEvent.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. AuditEvent.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. AuditEvent.type
Definition

Identificador de una familia del evento. Por ejemplo, un elemento de menú, un programa, una regla, una política, un código de función, un nombre de aplicación o una URL. Identifica la función realizada.


Identifier for a family of the event. For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.

ShortTipo/identificación del EventoType/identifier of event
Control1..1
BindingUnless not suitable, these codes SHALL be taken from AuditEventIDhttp://hl7.org/fhir/ValueSet/audit-event-type
(extensible to http://hl7.org/fhir/ValueSet/audit-event-type)

Eventos de auditoría descritos en FHIR para DICOM


Type of event.

TypeCoding
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

This identifies the performed function. For "Execute" Event Action Code audit records, this identifies the application function performed.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. AuditEvent.subtype
Definition

Identifier for the category of event.

ShortEspecificacion mas detallada del eventoMore specific type/id for the event
Control0..*
BindingUnless not suitable, these codes SHALL be taken from AuditEventSub-Typehttp://hl7.org/fhir/ValueSet/audit-event-sub-type
(extensible to http://hl7.org/fhir/ValueSet/audit-event-sub-type)

Códigos de desarrollados para DICOM


Sub-type of event.

TypeCoding
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

This field enables queries of messages by implementation-defined event categories.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. AuditEvent.subtype.system
Definition

Sistema de ejemplo de códigos que describen con mas detalle el evento


The identification of the code system that defines the meaning of the symbol in the code.

ShortSistema de CódigosIdentity of the terminology system
Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Control0..1
Typeuri
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to be unambiguous about the source of the definition of the symbol.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. AuditEvent.action
Definition

Código de la acción


Indicator for type of action performed during the event that generated the audit.

ShortCreate| Read/View/Print | Update | Delete | ExecuteType of action performed during the event
Control0..1
BindingThe codes SHALL be taken from AuditEventActionhttp://hl7.org/fhir/ValueSet/audit-event-action|4.0.1
(required to http://hl7.org/fhir/ValueSet/audit-event-action)

Códigos fijos extraídos de un set de DICOM por FHIR


Indicator for type of action performed during the event that generated the event.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. AuditEvent.period
Definition

The period during which the activity occurred.

ShortWhen the activity occurred
Comments

The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.

Control0..1
TypePeriod
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. AuditEvent.recorded
Definition

Momento cuando el evento fue guardado


The time when the event was recorded.

ShortMomento cuando el evento fue guardadoTime when the event was recorded
Comments

In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.

Control1..1
Typeinstant
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Requirements

This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. AuditEvent.outcome
Definition

Indicates whether the event succeeded or failed.

ShortResultado de la operaciónWhether the event succeeded or failed
Comments

In some cases a "success" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.

Control0..1
BindingThe codes SHALL be taken from AuditEventOutcomehttp://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.1
(required to http://hl7.org/fhir/ValueSet/audit-event-outcome)

Códigos extraídos de DICOM


Indicates whether the event succeeded or failed.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. AuditEvent.agent
Definition

Mínimo debe indicar quien requirió del recurso


An actor taking an active role in the event or activity that is logged.

ShortQuienes actuaron en el eventoActor involved in the event
Comments

Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.

Control1..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.

Alternate NamesActiveParticipant
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. AuditEvent.agent.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. AuditEvent.agent.who
Definition

Referencia al recurso o Identificación de quien realizó la acción


Reference to who this agent is that was involved in the event.

ShortQuien realizó la acciónIdentifier of who
Comments

Where a User ID is available it will go into who.identifier.

Control0..1
TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson, PractitionerRole, Practitioner, Organization, Patient)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Requirements

This field ties an audit event to a specific resource or identifier.

Alternate NamesuserId
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. AuditEvent.agent.requestor
Definition

indicador de si Who es quien requirió la acción


Indicator that the user is or is not the requestor, or initiator, for the event being audited.

Shortindicador de si Who es quien requirió la acciónWhether user is initiator
Comments

There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.

Control1..1
Typeboolean
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. AuditEvent.agent.network
Definition

Ubicación de red lógica para la actividad de la aplicación, si la actividad tiene una ubicación de red.


Logical network location for application activity, if the activity has a network location.

ShortUbicación de la Red de la AplicaciónLogical network location for application activity
Control0..1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. AuditEvent.agent.network.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
32. AuditEvent.agent.network.address
Definition

Un identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.


An identifier for the network access point of the user device for the audit event.

ShortDirección del Punto de AccesoIdentifier for the network access point of the user device
Comments

This could be a device id, IP address or some other identifier associated with a device.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. AuditEvent.agent.network.type
Definition

Un tipo de identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.


An identifier for the type of network access point that originated the audit event.

ShortCódigo del tipo de identificaciónThe type of network access point
Control0..1
BindingThe codes SHALL be taken from AuditEventAgentNetworkTypehttp://hl7.org/fhir/ValueSet/network-type|4.0.1
(required to http://hl7.org/fhir/ValueSet/network-type)

Códigos extraídos de un set DICOM por FHIR


The type of network access point of this agent in the audit event.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summaryfalse
Requirements

This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. AuditEvent.source
Definition

Sitio en donde se reporta el evento


The system that is reporting the event.

ShortQuien reporta el eventoAudit Event Reporter
Comments

Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.

Control1..1
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

The event is reported by one source.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. AuditEvent.source.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. AuditEvent.source.observer
Definition

Identificación del Observador donde se reportó el evento


Identifier of the source where the event was detected.

ShortEntidad que reporta el eventoThe identity of source detecting the event
Control1..1
TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson, PractitionerRole, Practitioner, Organization, Patient)
Is Modifierfalse
Must Supporttrue
Must Support TypesNo must-support rules about the choice of types/profiles
Summarytrue
Requirements

This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.

Alternate NamesSourceId
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. AuditEvent.entity
Definition

Entidad que registra la ocurrencia del Evento


Specific instances of data or objects that have been accessed.

ShortEntidad que registra la ocurrencia del EventoData or objects used
Comments

Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.

Control0..*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Requirements

The event may have other entities involved.

Alternate NamesParticipantObject
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
sev-1: Either a name or a query (NOT both) (name.empty() or query.empty())
sev-1: Either a name or a query (NOT both) (name.empty() or query.empty())
44. AuditEvent.entity.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. AuditEvent.entity.what
Definition

Recurso o identificación de la entidad que registra la ocurrencia del evento


Identifies a specific instance of the entity. The reference should be version specific.

ShortRecurso o identificación de la entidad que registra la ocurrencia del eventoSpecific instance of resource
Control0..1
TypeReference(Resource)
Is Modifierfalse
Must Supporttrue
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. AuditEvent
Definition

A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.

ShortEvent record kept for security purposes
Comments

Based on IHE-ATNA.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. AuditEvent.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. AuditEvent.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. AuditEvent.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. AuditEvent.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. AuditEvent.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
TypeNarrative
Is Modifierfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. AuditEvent.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Control0..*
TypeResource
Is Modifierfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. AuditEvent.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. AuditEvent.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. AuditEvent.type
Definition

Identificador de una familia del evento. Por ejemplo, un elemento de menú, un programa, una regla, una política, un código de función, un nombre de aplicación o una URL. Identifica la función realizada.

ShortTipo/identificación del Evento
Control1..1
BindingUnless not suitable, these codes SHALL be taken from AuditEventID
(extensible to http://hl7.org/fhir/ValueSet/audit-event-type)

Eventos de auditoría descritos en FHIR para DICOM

TypeCoding
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

This identifies the performed function. For "Execute" Event Action Code audit records, this identifies the application function performed.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. AuditEvent.subtype
Definition

Identifier for the category of event.

ShortEspecificacion mas detallada del evento
Control0..*
BindingUnless not suitable, these codes SHALL be taken from AuditEventSub-Type
(extensible to http://hl7.org/fhir/ValueSet/audit-event-sub-type)

Códigos de desarrollados para DICOM

TypeCoding
Is Modifierfalse
Must Supporttrue
Summarytrue
Requirements

This field enables queries of messages by implementation-defined event categories.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. AuditEvent.subtype.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
24. AuditEvent.subtype.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on AuditEvent.subtype.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 26. AuditEvent.subtype.system
    Definition

    Sistema de ejemplo de códigos que describen con mas detalle el evento

    ShortSistema de Códigos
    Comments

    The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

    Control0..1
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to be unambiguous about the source of the definition of the symbol.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. AuditEvent.subtype.version
    Definition

    The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

    ShortVersion of the system - if relevant
    Comments

    Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

    NoteThis is a business version Id, not a resource version Id (see discussion)
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. AuditEvent.subtype.code
    Definition

    A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    ShortSymbol in syntax defined by the system
    Control0..1
    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to refer to a particular code in the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    32. AuditEvent.subtype.display
    Definition

    A representation of the meaning of the code in the system, following the rules of the system.

    ShortRepresentation defined by the system
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    34. AuditEvent.subtype.userSelected
    Definition

    Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

    ShortIf this coding was chosen directly by the user
    Comments

    Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

    Control0..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    36. AuditEvent.action
    Definition

    Código de la acción

    ShortCreate| Read/View/Print | Update | Delete | Execute
    Control0..1
    BindingThe codes SHALL be taken from AuditEventAction
    (required to http://hl7.org/fhir/ValueSet/audit-event-action)

    Códigos fijos extraídos de un set de DICOM por FHIR

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    38. AuditEvent.period
    Definition

    The period during which the activity occurred.

    ShortWhen the activity occurred
    Comments

    The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.

    Control0..1
    TypePeriod
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    40. AuditEvent.recorded
    Definition

    Momento cuando el evento fue guardado

    ShortMomento cuando el evento fue guardado
    Comments

    In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.

    Control1..1
    Typeinstant
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Requirements

    This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    42. AuditEvent.outcome
    Definition

    Indicates whether the event succeeded or failed.

    ShortResultado de la operación
    Comments

    In some cases a "success" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.

    Control0..1
    BindingThe codes SHALL be taken from AuditEventOutcome
    (required to http://hl7.org/fhir/ValueSet/audit-event-outcome)

    Códigos extraídos de DICOM

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    44. AuditEvent.outcomeDesc
    Definition

    A free text description of the outcome of the event.

    ShortDescription of the event outcome
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    46. AuditEvent.purposeOfEvent
    Definition

    The purposeOfUse (reason) that was used during the event being recorded.

    ShortThe purposeOfUse of the event
    Comments

    Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from PurposeOfUse
    (extensible to http://terminology.hl7.org/ValueSet/v3-PurposeOfUse)

    The reason the activity took place.

    TypeCodeableConcept
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    48. AuditEvent.agent
    Definition

    Mínimo debe indicar quien requirió del recurso

    ShortQuienes actuaron en el evento
    Comments

    Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.

    For example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.

    Control1..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.

    Alternate NamesActiveParticipant
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    50. AuditEvent.agent.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    52. AuditEvent.agent.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    54. AuditEvent.agent.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    56. AuditEvent.agent.type
    Definition

    Specification of the participation type the user plays when performing the event.

    ShortHow agent participated
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ParticipationRoleType
    (extensible to http://hl7.org/fhir/ValueSet/participation-role-type)

    The Participation type of the agent to the event.

    TypeCodeableConcept
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    58. AuditEvent.agent.role
    Definition

    The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.

    ShortAgent role in the event
    Comments

    Should be roles relevant to the event. Should not be an exhaustive list of roles.

    Control0..*
    BindingFor example codes, see SecurityRoleType
    (example to http://hl7.org/fhir/ValueSet/security-role-type)

    What security role enabled the agent to participate in the event.

    TypeCodeableConcept
    Is Modifierfalse
    Summaryfalse
    Requirements

    This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    60. AuditEvent.agent.who
    Definition

    Referencia al recurso o Identificación de quien realizó la acción

    ShortQuien realizó la acción
    Comments

    Where a User ID is available it will go into who.identifier.

    Control0..1
    TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    This field ties an audit event to a specific resource or identifier.

    Alternate NamesuserId
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    62. AuditEvent.agent.altId
    Definition

    Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.

    ShortAlternative User identity
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some "single sign on" implementations will do this. The alternative identifier would then be the original identify used for authentication, and the User ID is the one known to and used by the application.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    64. AuditEvent.agent.name
    Definition

    Human-meaningful name for the agent.

    ShortHuman friendly name for the agent
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    66. AuditEvent.agent.requestor
    Definition

    indicador de si Who es quien requirió la acción

    Shortindicador de si Who es quien requirió la acción
    Comments

    There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.

    Control1..1
    Typeboolean
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    68. AuditEvent.agent.location
    Definition

    Where the event occurred.

    ShortWhere
    Control0..1
    TypeReference(Location)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    70. AuditEvent.agent.policy
    Definition

    The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.

    ShortPolicy that authorized event
    Comments

    For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.

    Control0..*
    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    This value is used retrospectively to determine the authorization policies.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    72. AuditEvent.agent.media
    Definition

    Type of media involved. Used when the event is about exporting/importing onto media.

    ShortType of media
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from MediaTypeCode
    (extensible to http://hl7.org/fhir/ValueSet/dicm-405-mediatype)

    Used when the event is about exporting/importing onto media.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    74. AuditEvent.agent.network
    Definition

    Ubicación de red lógica para la actividad de la aplicación, si la actividad tiene una ubicación de red.

    ShortUbicación de la Red de la Aplicación
    Control0..1
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    76. AuditEvent.agent.network.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    78. AuditEvent.agent.network.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    80. AuditEvent.agent.network.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    82. AuditEvent.agent.network.address
    Definition

    Un identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.

    ShortDirección del Punto de Acceso
    Comments

    This could be a device id, IP address or some other identifier associated with a device.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    84. AuditEvent.agent.network.type
    Definition

    Un tipo de identificador para el tipo de punto de acceso a la red que originó el evento de auditoría.

    ShortCódigo del tipo de identificación
    Control0..1
    BindingThe codes SHALL be taken from AuditEventAgentNetworkType
    (required to http://hl7.org/fhir/ValueSet/network-type)

    Códigos extraídos de un set DICOM por FHIR

    Typecode
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summaryfalse
    Requirements

    This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    86. AuditEvent.agent.purposeOfUse
    Definition

    The reason (purpose of use), specific to this agent, that was used during the event being recorded.

    ShortReason given for this user
    Comments

    Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from PurposeOfUse
    (extensible to http://terminology.hl7.org/ValueSet/v3-PurposeOfUse)

    The reason the activity took place.

    TypeCodeableConcept
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    88. AuditEvent.source
    Definition

    Sitio en donde se reporta el evento

    ShortQuien reporta el evento
    Comments

    Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.

    Control1..1
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    The event is reported by one source.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    90. AuditEvent.source.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    92. AuditEvent.source.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    94. AuditEvent.source.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    96. AuditEvent.source.site
    Definition

    Logical source location within the healthcare enterprise network. For example, a hospital or other provider location within a multi-entity provider group.

    ShortLogical source location within the enterprise
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    This value differentiates among the sites in a multi-site enterprise health information system.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    98. AuditEvent.source.observer
    Definition

    Identificación del Observador donde se reportó el evento

    ShortEntidad que reporta el evento
    Control1..1
    TypeReference(CL RolClinico, CL Prestador, CL Organización, CL Paciente, Device, RelatedPerson)
    Is Modifierfalse
    Must Supporttrue
    Must Support TypesNo must-support rules about the choice of types/profiles
    Summarytrue
    Requirements

    This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.

    Alternate NamesSourceId
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    100. AuditEvent.source.type
    Definition

    Code specifying the type of source where event originated.

    ShortThe type of source where event originated
    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from AuditEventSourceType
    (extensible to http://hl7.org/fhir/ValueSet/audit-source-type)

    Code specifying the type of system that detected and recorded the event.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    102. AuditEvent.entity
    Definition

    Entidad que registra la ocurrencia del Evento

    ShortEntidad que registra la ocurrencia del Evento
    Comments

    Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.

    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    The event may have other entities involved.

    Alternate NamesParticipantObject
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    sev-1: Either a name or a query (NOT both) (name.empty() or query.empty())
    104. AuditEvent.entity.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    106. AuditEvent.entity.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    108. AuditEvent.entity.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    110. AuditEvent.entity.what
    Definition

    Recurso o identificación de la entidad que registra la ocurrencia del evento

    ShortRecurso o identificación de la entidad que registra la ocurrencia del evento
    Control0..1
    TypeReference(Resource)
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    112. AuditEvent.entity.type
    Definition

    The type of the object that was involved in this audit event.

    ShortType of entity involved
    Comments

    This value is distinct from the user's role or any user relationship to the entity.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from AuditEventEntityType
    (extensible to http://hl7.org/fhir/ValueSet/audit-entity-type)

    Code for the entity type involved in the audit event.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    114. AuditEvent.entity.role
    Definition

    Code representing the role the entity played in the event being audited.

    ShortWhat role the entity played
    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from AuditEventEntityRole
    (extensible to http://hl7.org/fhir/ValueSet/object-role)

    Code representing the role the entity played in the audit event.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    116. AuditEvent.entity.lifecycle
    Definition

    Identifier for the data life-cycle stage for the entity.

    ShortLife-cycle stage for the entity
    Comments

    This can be used to provide an audit trail for data, over time, as it passes through the system.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ObjectLifecycleEvents
    (extensible to http://hl7.org/fhir/ValueSet/object-lifecycle-events)

    Identifier for the data life-cycle stage for the entity.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    118. AuditEvent.entity.securityLabel
    Definition

    Security labels for the identified entity.

    ShortSecurity labels on the entity
    Comments

    Copied from entity meta security tags.

    Control0..*
    BindingUnless not suitable, these codes SHALL be taken from All Security Labels
    (extensible to http://hl7.org/fhir/ValueSet/security-labels)

    Security Labels from the Healthcare Privacy and Security Classification System.

    TypeCoding
    Is Modifierfalse
    Summaryfalse
    Requirements

    This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    120. AuditEvent.entity.name
    Definition

    A name of the entity in the audit event.

    ShortDescriptor for entity
    Comments

    This field may be used in a query/report to identify audit events for a specific person. For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.

    Control0..1
    This element is affected by the following invariants: sev-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    Use only where entity can't be identified with an identifier.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    122. AuditEvent.entity.description
    Definition

    Text that describes the entity in more detail.

    ShortDescriptive text
    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    Use only where entity can't be identified with an identifier.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    124. AuditEvent.entity.query
    Definition

    The query parameters for a query-type entities.

    ShortQuery parameters
    Comments

    The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role. The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded. An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.

    Control0..1
    This element is affected by the following invariants: sev-1
    Typebase64Binary
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Requirements

    For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    126. AuditEvent.entity.detail
    Definition

    Tagged value pairs for conveying additional information about the entity.

    ShortAdditional Information about the entity
    Control0..*
    TypeBackboneElement
    Is Modifierfalse
    Summaryfalse
    Requirements

    Implementation-defined data about specific details of the object accessed or used.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    128. AuditEvent.entity.detail.id
    Definition

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    130. AuditEvent.entity.detail.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    ShortAdditional content defined by implementations
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    132. AuditEvent.entity.detail.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content, modifiers
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    134. AuditEvent.entity.detail.type
    Definition

    The type of extra detail provided in the value.

    ShortName of the property
    Control1..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    136. AuditEvent.entity.detail.value[x]
    Definition

    The value of the extra detail.

    ShortProperty value
    Comments

    The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content. The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role. The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded. An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.

    Control1..1
    TypeChoice of: string, base64Binary
    [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summaryfalse
    Requirements

    Should not duplicate the entity value unless absolutely necessary.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))