Mobile access to Health Documents (MHD)
4.2.3 - Trial-Implementation

Mobile access to Health Documents (MHD), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 4.2.3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.MHD/ and changes regularly. See the Directory of published versions

## : Audit Example of ITI-67 at responder - JSON Representation

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    {
      "resourceType" : "AuditEvent",
      "id" : "ex-auditFindDocumentReferences-responder",
      "meta" : {
        "profile" : [
          🔗 "https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.FindDocumentReferences.Audit.Responder"
        ],
        "security" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code" : "HTEST"
          }
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: AuditEvent ex-auditFindDocumentReferences-responder</b></p><a name=\"ex-auditFindDocumentReferences-responder\"> </a><a name=\"hcex-auditFindDocumentReferences-responder\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-IHE.MHD.FindDocumentReferences.Audit.Responder.html\">Audit Event for Find Document References Transaction at Document Responder</a></p><p style=\"margin-bottom: 0px\">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p><b>type</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-audit-event-type.html#audit-event-type-rest\">Audit Event ID: rest</a> (Restful Operation)</p><p><b>subtype</b>: unknown: ITI-67 (Find Document References), <a href=\"http://hl7.org/fhir/R4/codesystem-restful-interaction.html#restful-interaction-search\">FHIR Restful Interactions: search</a> (search)</p><p><b>action</b>: Execute</p><p><b>recorded</b>: 2020-04-29 09:49:00+0000</p><p><b>outcome</b>: Success</p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 110153}\">Source Role ID</span></p><p><b>who</b>: <a href=\"Device-ex-device.html\">Device</a></p><p><b>requestor</b>: false</p><h3>Networks</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Address</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>2001:0db8:85a3:0000:0000:8a2e:0370:7334</td><td>IP Address</td></tr></table></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"Codes:{http://dicom.nema.org/resources/ontology/DCM 110152}\">Destination Role ID</span></p><p><b>who</b>: http://server.example.com/fhir</p><p><b>requestor</b>: false</p><h3>Networks</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Address</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>http://server.example.com/fhir</td><td>URI</td></tr></table></blockquote><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Site</b></td><td><b>Observer</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>HIE MHD api example</td><td>http://server.example.com/fhir</td><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-security-source-type.html#security-source-type-4\">Audit Event Source Type: 4</a> (Application Server)</td></tr></table><blockquote><p><b>entity</b></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-audit-entity-type.html#audit-entity-type-2\">Audit event entity type: 2</a> (System Object)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-object-role.html#object-role-24\">AuditEventEntityRole: 24</a> (Query)</p><p><b>description</b>: GET test.fhir.net/R4/fhir/DocumentReference?patient=9876&amp;status=current&amp;type=http://loinc.org|1234-5</p><p><b>query</b>: <code>R0VUIHRlc3QuZmhpci5uZXQvUjQvZmhpci9Eb2N1bWVudFJlZmVyZW5jZT9wYXRpZW50PTk4NzYmc3RhdHVzPWN1cnJlbnQmdHlwZT1odHRwOi8vbG9pbmMub3JnfDEyMzQtNQo=</code></p></blockquote><blockquote><p><b>entity</b></p><p><b>what</b>: <a href=\"Patient-ex-patient.html\">John Schmidt  Other, DoB: 1923-07-25</a></p><p><b>type</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-audit-entity-type.html#audit-entity-type-1\">Audit event entity type: 1</a> (Person)</p><p><b>role</b>: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-object-role.html#object-role-1\">AuditEventEntityRole: 1</a> (Patient)</p></blockquote></div>"
      },
      "type" : {
        "system" : "http://terminology.hl7.org/CodeSystem/audit-event-type",
        "code" : "rest",
        "display" : "Restful Operation"
      },
      "subtype" : [
        {
          "system" : "urn:ihe:event-type-code",
          "code" : "ITI-67",
          "display" : "Find Document References"
        },
        {
          "system" : "http://hl7.org/fhir/restful-interaction",
          "code" : "search",
          "display" : "search"
        }
      ],
      "action" : "E",
      "recorded" : "2020-04-29T09:49:00.000Z",
      "outcome" : "0",
      "agent" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "110153",
                "display" : "Source Role ID"
              }
            ]
          },
          "who" : {
            🔗 "reference" : "Device/ex-device"
          },
          "requestor" : false,
          "network" : {
            "address" : "2001:0db8:85a3:0000:0000:8a2e:0370:7334",
            "type" : "2"
          }
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://dicom.nema.org/resources/ontology/DCM",
                "code" : "110152",
                "display" : "Destination Role ID"
              }
            ]
          },
          "who" : {
            "display" : "http://server.example.com/fhir"
          },
          "requestor" : false,
          "network" : {
            "address" : "http://server.example.com/fhir",
            "type" : "5"
          }
        }
      ],
      "source" : {
        "site" : "HIE MHD api example",
        "observer" : {
          "display" : "http://server.example.com/fhir"
        },
        "type" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/security-source-type",
            "code" : "4",
            "display" : "Application Server"
          }
        ]
      },
      "entity" : [
        {
          "type" : {
            "system" : "http://terminology.hl7.org/CodeSystem/audit-entity-type",
            "code" : "2",
            "display" : "System Object"
          },
          "role" : {
            "system" : "http://terminology.hl7.org/CodeSystem/object-role",
            "code" : "24",
            "display" : "Query"
          },
          "description" : "GET test.fhir.net/R4/fhir/DocumentReference?patient=9876&status=current&type=http://loinc.org|1234-5",
          "query" : "R0VUIHRlc3QuZmhpci5uZXQvUjQvZmhpci9Eb2N1bWVudFJlZmVyZW5jZT9wYXRpZW50PTk4NzYmc3RhdHVzPWN1cnJlbnQmdHlwZT1odHRwOi8vbG9pbmMub3JnfDEyMzQtNQo="
        },
        {
          "what" : {
            🔗 "reference" : "Patient/ex-patient"
          },
          "type" : {
            "system" : "http://terminology.hl7.org/CodeSystem/audit-entity-type",
            "code" : "1",
            "display" : "Person"
          },
          "role" : {
            "system" : "http://terminology.hl7.org/CodeSystem/object-role",
            "code" : "1",
            "display" : "Patient"
          }
        }
      ]
    }