DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2 R3 R2

Security Work Group Maturity Level : 3   Trial Use Compartments : Device , Patient , Practitioner

Detailed Descriptions for the elements in the AuditEvent resource.

To Do Do we need an element for Media Id (as opposed to type). Comments See RFC 3881 for rules concerning matches between role and type.
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.

Control 1..1
Comments

Based on ATNA (RFC 3881).

AuditEvent.event Definition Identifies the name, action type, time, and disposition of the audited event. Control 1..1 Requirements The event must be identified. AuditEvent.event.type AuditEvent.type
Definition

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.

Control 1..1
Terminology Binding Audit Event ID: Type of event. ID ( Extensible )
Type Coding
Requirements

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

Summary true
AuditEvent.event.subtype AuditEvent.subtype
Definition

Identifier for the category of event.

Control 0..*
Terminology Binding Audit Event Sub-Type: Sub-type of event. Sub-Type ( Extensible )
Type Coding
Requirements

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

Summary true
AuditEvent.event.action AuditEvent.action
Definition

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

Control 0..1
Terminology Binding AuditEventAction: Indicator for type of action performed during the event that generated the audit. AuditEventAction ( Required )
Type code
Requirements

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

Summary true
AuditEvent.event.dateTime AuditEvent.recorded
Definition

The time when the event occurred on the source.

Control 1..1
Type instant
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.

Summary true
Comments

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

AuditEvent.event.outcome AuditEvent.outcome
Definition

Indicates whether the event succeeded or failed.

Control 0..1
Terminology Binding AuditEventOutcome: Indicates whether the event succeeded or failed AuditEventOutcome ( Required )
Type code
Summary true
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.

AuditEvent.event.outcomeDesc AuditEvent.outcomeDesc
Definition

A free text description of the outcome of the event.

Control 0..1
Type string
Summary true
AuditEvent.event.purposeOfEvent AuditEvent.purposeOfEvent
Definition

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

Control 0..*
Terminology Binding PurposeOfUse: The reason the activity took place. PurposeOfUse ( Extensible )
Type Coding CodeableConcept
Summary true
Comments

Use participant.purposeOfUse AuditEvent.agent.purposeOfUse when you know that it is specific to the participant, agent, otherwise use event.purposeOfEvent. 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.

AuditEvent.participant AuditEvent.agent
Definition

A person, a hardware device An actor taking an active role in the event or software process. activity that is logged.

Control 1..*
Requirements

The event has one An agent can be a person, an organization, software, device, or more active participants. other actors that may be ascribed responsibility.

Alternate Names ActiveParticipant
Comments

There Several agents may be more than one user per event, associated (i.e. have some responsibility for an activity) with an event or activity.

For example, in cases of actions an activity may be initiated by one user for other users, users or in events that involve more than one user, hardware device, or system process. user. However, only one user may be the initiator/requestor for the event. activity.

AuditEvent.participant.role AuditEvent.agent.role
Definition

Specification of the role(s) The security role that the user plays when performing the event. Usually the codes used in this element are was acting under, that come from local codes defined by the role-based access control security system (e.g. RBAC, ABAC) used in the local context.

Control 0..*
Terminology Binding Audit Active Participant Role ID Code: Role(s) the user plays (from RBAC). SecurityRoleType ( Extensible )
Type CodeableConcept
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.

Comments

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

AuditEvent.participant.reference AuditEvent.agent.reference
Definition

Direct reference to a resource that identifies the participant. agent.

Control 0..1
Type Reference ( Practitioner | Organization | Device | Patient | RelatedPerson )
Requirements

This field ties an audit event to a specific resource.

Summary true
AuditEvent.participant.userId AuditEvent.agent.userId
Definition

Unique identifier for the user actively participating in the event.

Control 0..1
Type Identifier
Requirements

This field ties an audit event to a specific user.

Summary true
Comments

a A unique value within the Audit Source ID. For node-based authentication -- where only the system hardware or process, but not a human user, is identified -- User ID would be the node name.

AuditEvent.participant.altId AuditEvent.agent.altId
Definition

Alternative Participant 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.

Control 0..1
Type string
Requirements

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

AuditEvent.participant.name AuditEvent.agent.name
Definition

Human-meaningful name for the user. agent.

Control 0..1
Type string
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.

AuditEvent.participant.requestor AuditEvent.agent.requestor
Definition

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

Control 1..1
Type boolean
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.

Comments

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

AuditEvent.participant.location AuditEvent.agent.location
Definition

Where the event occurred.

Control 0..1
Type Reference ( Location )
AuditEvent.participant.policy 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.

Control 0..*
Type uri
Requirements

This value is used retrospectively to determine the authorization policies.

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.

AuditEvent.participant.media AuditEvent.agent.media
Definition

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

Control 0..1
Terminology Binding Media Type Code: Used when the event is about exporting/importing onto media. Code ( Extensible )
Type Coding
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).

AuditEvent.participant.network AuditEvent.agent.network
Definition

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

Control 0..1
AuditEvent.participant.network.address AuditEvent.agent.network.address
Definition

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

Control 0..1
Type string
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.

Comments

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

AuditEvent.participant.network.type AuditEvent.agent.network.type
Definition

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

Control 0..1
Terminology Binding AuditEventParticipantNetworkType: The type of network access point of this participant in the audit event AuditEventAgentNetworkType ( Required )
Type code
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.

AuditEvent.participant.purposeOfUse AuditEvent.agent.purposeOfUse
Definition

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

Control 0..*
Terminology Binding PurposeOfUse: The reason the activity took place. PurposeOfUse ( Extensible )
Type Coding CodeableConcept
Comments

Use participant.purposeOfUse AuditEvent.agent.purposeOfUse when you know that is specific to the participant, agent, otherwise use event.purposeOfEvent. 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.

AuditEvent.source
Definition

Application systems and processes. The system that is reporting the event.

Control 1..1
Requirements

The event is reported by one source.

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.

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.

Control 0..1
Type string
Requirements

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

AuditEvent.source.identifier
Definition

Identifier of the source where the event was detected.

Note This is a business identifer, not a resource identifier (see discussion )
Control 1..1
Type Identifier
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.

Summary true
AuditEvent.source.type
Definition

Code specifying the type of source where event originated.

Control 0..*
Terminology Binding Audit Event Source Type: Code specifying the type of system that detected and recorded the event. Type ( Extensible )
Type Coding
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.

AuditEvent.object AuditEvent.entity
Definition

Specific instances of data or objects that have been accessed.

Control 0..*
Requirements

The event may have other objects entities involved.

Alternate Names ParticipantObject
Comments

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

Invariants Defined on this element
sev-1 : Either a name or a query (NOT both) (xpath: ( expression : name.empty() or query.empty(), xpath: not(exists(f:name)) or not(exists(f:query)))
AuditEvent.object.identifier AuditEvent.entity.identifier
Definition

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

Note This is a business identifer, not a resource identifier (see discussion )
Control 0..1
Type Identifier
Summary true
Comments

Identifier detail depends on object entity type.

AuditEvent.object.reference AuditEvent.entity.reference
Definition

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

Control 0..1
Type Reference ( Any )
Summary true
AuditEvent.object.type AuditEvent.entity.type
Definition

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

Control 0..1
Terminology Binding AuditEventObjectType: Code for the object type involved audited. AuditEventEntityType ( Extensible )
Type Coding
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.

Comments

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

AuditEvent.object.role AuditEvent.entity.role
Definition

Code representing the functional application role of Participant Object the entity played in the event being audited.

Control 0..1
Terminology Binding AuditEventObjectRole: Code representing the role the Object played in the event. AuditEventEntityRole ( Extensible )
Type Coding
Requirements

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

AuditEvent.object.lifecycle AuditEvent.entity.lifecycle
Definition

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

Control 0..1
Terminology Binding AuditEventObjectLifecycle: Identifier for the data life-cycle stage for the object. ObjectLifecycleEvents ( Extensible )
Type Coding
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.

Comments

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

AuditEvent.object.securityLabel AuditEvent.entity.securityLabel
Definition

Denotes security Security labels for the identified object. entity.

Control 0..*
Terminology Binding All Security Labels: All Security Labels from the Healthcare Privacy and Security Classification System. ( Extensible )
Type Coding
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.

Comments

Copied from entity meta security tags.

AuditEvent.object.name AuditEvent.entity.name
Definition

An instance-specific descriptor A name of the Participant Object ID audited, such as a person's name. entity in the audit event.

Control 0..1
Type string
Requirements

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

Summary true
Comments

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

Invariants Affect this element
sev-1 : Either a name or a query (NOT both) (xpath: ( expression : name.empty() or query.empty(), xpath: not(exists(f:name)) or not(exists(f:query)))
AuditEvent.object.description AuditEvent.entity.description
Definition

Text that describes the object entity in more detail.

Control 0..1
Type string
Requirements

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

AuditEvent.object.query AuditEvent.entity.query
Definition

The actual query parameters for a query-type participant object. entities.

Control 0..1
Type base64Binary
Requirements

For query events 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.

Summary true
Invariants Affect this element
sev-1 : Either a name or a query (NOT both) (xpath: ( expression : name.empty() or query.empty(), xpath: not(exists(f:name)) or not(exists(f:query)))
AuditEvent.object.detail AuditEvent.entity.detail
Definition

Additional Information Tagged value pairs for conveying additional information about the Object. entity.

Control 0..*
Requirements

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

AuditEvent.object.detail.type AuditEvent.entity.detail.type
Definition

Name The type of extra detail provided in the property. value.

Control 1..1
Type string
AuditEvent.object.detail.value AuditEvent.entity.detail.value
Definition

Property value. The details, base64 encoded. Used to carry bulk information.

Control 1..1
Type base64Binary
Requirements

Should not duplicate the entity value unless absolutely necessary.

Comments

The value is base64 encoded to enable various encodings or binary content.