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Audit Events

Audit Events (FHIR AuditEvent) record security-relevant events in your healthcare system. They are essential for HIPAA compliance, tracking who accessed what data and when. Audit events are immutable — once created, they cannot be modified.

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Record a REST Access Event

const { data: event } = await clinik.auditEvents.create({
  type: 'rest',
  subtype: ['read'],
  action: 'R',
  recorded: new Date().toISOString(),
  outcome: '0',
  agent: [{
    who: 'prac_dr456',
    name: 'Dr. Sarah Chen',
    requestor: true,
    role: 'Practitioner',
    networkAddress: '10.0.1.42',
  }],
  source: {
    observer: 'EHR Application',
    site: 'Main Campus',
    type: 'Application Server',
  },
  entity: [{
    what: 'Patient/pt_abc123',
    type: '1',
    role: '1',
    name: 'Patient Record',
    description: 'Accessed patient demographics',
  }],
});

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Record a Login Event

const { data } = await clinik.auditEvents.create({
  type: 'login',
  action: 'E',
  recorded: '2024-06-15T08:30:00Z',
  outcome: '0',
  agent: [{
    who: 'user_nurse789',
    name: 'Nurse Johnson',
    requestor: true,
    role: 'Nurse',
    networkAddress: '192.168.1.50',
  }],
  source: {
    observer: 'Authentication Service',
    site: 'Cloud',
  },
});

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Record a Failed Access Attempt

const { data } = await clinik.auditEvents.create({
  type: 'rest',
  action: 'R',
  recorded: new Date().toISOString(),
  outcome: '8',
  outcomeDesc: 'Access denied — insufficient privileges for restricted record',
  agent: [{
    who: 'user_intern001',
    name: 'Medical Intern',
    requestor: true,
    role: 'Intern',
  }],
  source: {
    observer: 'Authorization Service',
    site: 'Cloud',
  },
  entity: [{
    what: 'Patient/pt_restricted999',
    type: '1',
    role: '1',
    name: 'Restricted Patient Record',
  }],
});

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Record a Data Export Event

const { data } = await clinik.auditEvents.create({
  type: 'export',
  action: 'R',
  recorded: new Date().toISOString(),
  outcome: '0',
  purposeOfEvent: ['HIPAA Operations', 'Quality Reporting'],
  agent: [{
    who: 'admin_user001',
    name: 'System Administrator',
    requestor: true,
    role: 'Admin',
  }],
  source: {
    observer: 'Bulk Export Service',
    site: 'Cloud',
    type: 'Application Server',
  },
  entity: [{
    type: '2',
    role: '3',
    name: 'Bulk Export Job',
    description: 'Exported 1,200 patient records for quality reporting',
  }],
});

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Search Audit Events

// All events with a specific action
const { data } = await clinik.auditEvents.search({
  action: 'R',
});

// Failed events
const { data: failures } = await clinik.auditEvents.search({
  outcome: '8',
});

// Events in a date range
const { data: recent } = await clinik.auditEvents.search({
  dateFrom: '2024-06-01',
  dateTo: '2024-06-30',
});