Audit log and data access tracking

**Purpose**

1.1. Ensure regulatory compliance by continuously recording all user/system access to sensitive clinical data within addiction treatment centers.
1.2. Support incident investigations with immutable audit trails.
1.3. Maintain HIPAA/GDPR alignment by documenting every read, write, update, and export request related to patient records.
1.4. Facilitate external audits with automated, timestamped access logs and reports.
1.5. Reduce manual compliance burdens and decrease security risks from internal and external actors.
1.6. Create real-time alerts for suspicious access or policy violations.
1.7. Improve reporting accuracy and transparency for clients, regulatory bodies, and partners.

**Trigger Conditions**

2.1. User attempts to access or modify Protected Health Information (PHI).
2.2. API key usage or integration connection triggers data access event.
2.3. Administrative login or privilege escalation events.
2.4. Export or print actions performed on client/patient files.
2.5. Scheduled database audit or data backup completion.
2.6. Third-party vendor or app integration initiates record retrieval.
2.7. Policy update or confidentiality agreement acknowledgement by staff.

**Platform Variants**

3.1. Okta
• Feature/Setting: System Log API; configure "get events" for user logins/data access.
3.2. Microsoft Azure AD
• Feature/Setting: Sign-ins and Audit Logs; enable diagnostic settings for export to SIEM.
3.3. AWS CloudTrail
• Feature/Setting: StartLogging API; activate for DynamoDB/RDS data access events.
3.4. Google Workspace
• Feature/Setting: Admin Reports API (activity.get); monitor file/service access.
3.5. Salesforce Health Cloud
• Feature/Setting: Event Monitoring API; enable “ViewAuditTrailEvents.”
3.6. Meditech
• Feature/Setting: Audit Trail Module; configure triggered report exports.
3.7. Epic Systems
• Feature/Setting: System Audit API; use “GetAuditLog” for patient chart views.
3.8. Athenahealth
• Feature/Setting: Developer Portal - GET /v1/logs/access; activate full audit logging.
3.9. Cerner Millennium
• Feature/Setting: Audit API; enable “SESSION_AUDIT” logging.
3.10. Netsmart myAvatar
• Feature/Setting: System Audit Trail; configure alert thresholds for accesses.
3.11. Tableau
• Feature/Setting: REST API "Query Audit Logs"; export log activities.
3.12. Splunk
• Feature/Setting: HTTP Event Collector; send access logs from healthcare EHRs/SIEM.
3.13. ServiceNow
• Feature/Setting: System Log Table API; set filter for patient data modifications.
3.14. Veeam Backup & Replication
• Feature/Setting: Get-EventLog PowerShell cmdlets; monitor backup access.
3.15. Trellix ePO (McAfee)
• Feature/Setting: DLP Audit Logs; configure forwarding to SIEM.
3.16. Google BigQuery
• Feature/Setting: Audit Logs; enable for dataset access and query tracking.
3.17. MongoDB Atlas
• Feature/Setting: Project Audit Logs API; retrieve all data access/change events.
3.18. IBM QRadar
• Feature/Setting: Log Source Management API; configure ingestion of EHR/EHR API logs.
3.19. Elastic (ELK) Stack
• Feature/Setting: Filebeat integration; collect and parse application audit events.
3.20. PagerDuty
• Feature/Setting: REST API integration; trigger alert on abnormal log event.
3.21. Zoom (Telehealth)
• Feature/Setting: Dashboard Reports API; log meeting attendance/recording access.
3.22. Okta Workflows
• Feature/Setting: Create workflow for real-time alert on policy violation log event.
3.23. Dropbox Business
• Feature/Setting: Team Log API; monitor downloads/view events for shared treatment plans.
3.24. Zendesk
• Feature/Setting: Audit Logs API; track support ticket access involving patient details.
3.25. DocuSign
• Feature/Setting: Connect Event Notification; record when consent forms are viewed/signed.
3.26. Aircall
• Feature/Setting: Call Logs API; track access/listening to recorded teletherapy sessions.
3.27. Asana
• Feature/Setting: Events API; monitor updates/exports of case management tasks.
3.28. Jira
• Feature/Setting: Audit Log API; keep record of access to private project issues with PHI.

**Benefits**

4.1. Enhances visibility into all access and activity on sensitive data.
4.2. Simplifies preparation for external audits and certification renewals.
4.3. Reduces risk of data breaches through immediate detection and alerting.
4.4. Frees staff from manual logging, cutting administrative overhead.
4.5. Proves to authorities and partners a commitment to patient data privacy and integrity.
4.6. Enables rapid, complete incident response and root cause analysis if issues arise.
4.7. Maintains continuous, enforceable compliance posture as regulations evolve.