Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3 R2

Auditevent-example-disclosure.json

Example AuditEvent/example-disclosure (JSON)

Security Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

Accounting of a Disclosure

{
  "resourceType": "AuditEvent",
  "id": "example-disclosure",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Disclosure by some idiot, for marketing reasons, to places unknown, of a Poor Sap, data about Everthing important.</div>"

  "resourceType" : "AuditEvent",
  "id" : "example-disclosure",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: AuditEvent</b><a name=\"example-disclosure\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource AuditEvent &quot;example-disclosure&quot; </p></div><p><b>category</b>: Export <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110106)</span></p><p><b>code</b>: HIPAA disclosure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ([not stated]#Disclosure)</span></p><p><b>action</b>: R</p><p><b>severity</b>: notice</p><p><b>recorded</b>: 22 Sept 2013, 10:08:00 am</p><h3>Outcomes</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td>*</td><td>Success (Details: http://terminology.hl7.org/CodeSystem/audit-event-outcome code 0 = 'Success', stated as 'Success')</td><td>Successful Disclosure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></td></tr></table><p><b>authorization</b>: healthcare marketing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#HMARKT)</span></p><p><b>patient</b>: <span title=\"  patient whos data got disclosed  \"><a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"  who disclosed the data  \">Source Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110153)</span></span></p><p><b>who</b>: <span>: That guy everyone wishes would be caught</span></p><p><b>requestor</b>: true</p><p><b>location</b>: <a href=\"location-example.html\">Location/1</a> &quot;South Wing, second floor&quot;</p><p><b>policy</b>: <a href=\"http://consent.com/yes\">http://consent.com/yes</a></p><p><b>network</b>: custodian.net</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title=\"  who received the data  \">Destination Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110152)</span></span></p><p><b>who</b>: <a href=\"practitioner-example.html\">Practitioner/example: Where</a> &quot;Adam CAREFUL&quot;</p><p><b>requestor</b>: false</p><p><b>network</b>: marketing.land</p><p><b>authorization</b>: healthcare marketing <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#HMARKT)</span></p></blockquote><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Observer</b></td><td><b>Type</b></td></tr><tr><td>*</td><td><span title=\"  what system detected this disclosure  \"><span>: Watchers Accounting of Disclosures Application</span></span></td><td>Application Server <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-security-source-type.html\">Audit Event Source Type</a>#4)</span></td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td>-</td><td><b>What</b></td><td><b>Role</b></td><td><b>SecurityLabel</b></td></tr><tr><td>*</td><td><span title=\"  data that got disclosed  \"><a href=\"patient-example.html\">Patient/example/_history/1: data about Everthing important</a> &quot;Peter CHALMERS&quot;</span></td><td>Domain Resource <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-object-role.html\">AuditEventEntityRole</a>#4)</span></td><td>very restricted <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-Confidentiality.html\">Confidentiality</a>#V)</span>, sexually transmitted disease information sensitivity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#STD)</span>, delete after use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#DELAU)</span></td></tr></table></div>"

  },
  "type": {
    "system": "http://dicom.nema.org/resources/ontology/DCM",
    "code": "110106",
    "display": "Export"

  "category" : [{
    "coding" : [{
      "system" : "http://dicom.nema.org/resources/ontology/DCM",
      "code" : "110106",
      "display" : "Export"
    }]
  }],
  "code" : {
    "coding" : [{
      "code" : "Disclosure",
      "display" : "HIPAA disclosure"
    }]

  },
  "subtype": [
    {
      "code": "Disclosure",
      "display": "HIPAA disclosure"
    }
  ],
  "action": "R",
  "recorded": "2013-09-22T00:08:00Z",
  "outcome": "0",
  "outcomeDesc": "Successful  Disclosure",
  "purposeOfEvent": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "HMARKT",
          "display": "healthcare marketing"
        }
      ]
    }
  ],
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "110153",
            "display": "Source Role ID"
          }
        ]
      },
      "who": {
        "identifier": {
          "value": "SomeIdiot@nowhere"
        }
      },
      "altId": "notMe",
      "name": "That guy everyone wishes would be caught",
      "requestor": true,
      "location": {
        "reference": "Location/1"
      },
      "policy": [
        "http://consent.com/yes"
      ],
      "network": {
        "address": "custodian.net",
        "type": "1"
      }

  "action" : "R",
  "severity" : "notice",
  "recorded" : "2013-09-22T00:08:00Z",
  "outcome" : {
    "code" : {
      "system" : "http://terminology.hl7.org/CodeSystem/audit-event-outcome",
      "code" : "0",
      "display" : "Success"

    },
    {
      "type": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "110152",
            "display": "Destination Role ID"
          }
        ]
      },
      "who": {
        "reference": "Practitioner/example",
        "display": "Where"
      },
      "requestor": false,
      "network": {
        "address": "marketing.land",
        "type": "1"

    "detail" : [{
      "text" : "Successful Disclosure"
    }]
  },
  "authorization" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code" : "HMARKT",
      "display" : "healthcare marketing"
    }]
  }],
  "patient" : {
    "reference" : "Patient/example"
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "110153",
        "display" : "Source Role ID"
      }]
    },
    "who" : {
      "identifier" : {
        "value" : "SomeIdiot@nowhere"

      },
      "purposeOfUse": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HMARKT",
              "display": "healthcare marketing"
            }
          ]
        }
      ]
    }
  ],
  "source": {
    "site": "Watcher",
    "observer": {
      "display": "Watchers Accounting of Disclosures Application"

      "display" : "That guy everyone wishes would be caught"

    },
    "type": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/security-source-type",
        "code": "4",
        "display": "Application Server"
      }
    ]

    "requestor" : true,
    "location" : {
      "reference" : "Location/1"
    },
    "policy" : ["http://consent.com/yes"],
    "networkString" : "custodian.net"

  },
  "entity": [
    {
      "what": {
        "reference": "Patient/example"
      },
      "type": {
        "system": "http://terminology.hl7.org/CodeSystem/audit-entity-type",
        "code": "1",
        "display": "Person"

  {
    "type" : {
      "coding" : [{
        "system" : "http://dicom.nema.org/resources/ontology/DCM",
        "code" : "110152",
        "display" : "Destination Role ID"
      }]
    },
    "who" : {
      "reference" : "Practitioner/example",
      "display" : "Where"
    },
    "requestor" : false,
    "networkString" : "marketing.land",
    "authorization" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HMARKT",
        "display" : "healthcare marketing"
      }]
    }]
  }],
  "source" : {
    "observer" : {
      "display" : "Watchers Accounting of Disclosures Application"
    },
    "type" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/security-source-type",
        "code" : "4",
        "display" : "Application Server"
      }]
    }]
  },
  "entity" : [{
    "what" : {
      "reference" : "Patient/example/_history/1",
      "identifier" : {
        "value" : "What.id"

      },
      "role": {
        "system": "http://terminology.hl7.org/CodeSystem/object-role",
        "code": "1",
        "display": "Patient"
      }

      "display" : "data about Everthing important"
    },
    "role" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/object-role",
        "code" : "4",
        "display" : "Domain Resource"
      }]
    },
    "securityLabel" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "V",
        "display" : "very restricted"
      }]

    },
    {
      "what": {
        "reference": "Patient/example/_history/1",
        "identifier": {
          "value": "What.id"
        }
      },
      "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": "4",
        "display": "Domain Resource"
      },
      "lifecycle": {
        "system": "http://terminology.hl7.org/CodeSystem/dicom-audit-lifecycle",
        "code": "11",
        "display": "Disclosure"
      },
      "securityLabel": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code": "V",
          "display": "very restricted"
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "STD",
          "display": "sexually transmitted disease information sensitivity"
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "DELAU",
          "display": "delete after use"
        }
      ],
      "name": "Namne of What",
      "description": "data about Everthing important"
    }
  ]

      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "STD",
        "display" : "sexually transmitted disease information sensitivity"
      }]
    },
    {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "DELAU",
        "display" : "delete after use"
      }]
    }]
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.