Compliance & DocumentationPurpose
1.2 Fulfill legal, regulatory, and accreditation requirements (HIPAA, HITECH, etc.) for documentation of PHI handling.
1.3 Rapidly identify unauthorized or anomalous PHI activity to mitigate breaches and minimize compliance risks.
1.4 Maintain transparent, defensible audit trails for internal governance and external audits.
1.5 Support incident response, investigations, and routine compliance reporting.
Trigger Conditions
2.2 PHI shared via email, fax, or cloud-based tools.
2.3 System or user-generated events, e.g., new access permissions, account role changes, or failed login attempts.
2.4 Manual disclosures, e.g., patient request for record release.
2.5 Scheduled compliance audits or automated periodic log-pull triggers.
Platform Variants
3.1 Epic
• Feature/Setting: Audit Logs – Configure automated retrieval via Epic App Orchard API using /AuditLogs endpoint; parse, filter events tagged as PHI access or disclosure.
3.2 Cerner
• Feature/Setting: Millennium Open Engine – Use FHIR/REST endpoints /AuditEvent and /Provenance for log capture; schedule event extraction.
3.3 Meditech
• Feature/Setting: Data Repository ODBC/JDBC connection – Query PHI events; configure triggers on PHI view/edit activity.
3.4 Athenahealth
• Feature/Setting: Webhooks via API – Listen for 'chart_accessed' and 'document_viewed' events.
3.5 Allscripts
• Feature/Setting: Unity API – Call /GetAuditTrail method for access event polling.
3.6 NextGen Healthcare
• Feature/Setting: API Logging – Enable /SecurityEvent endpoints for capturing PHI access logs.
3.7 Google Workspace
• Feature/Setting: Google Drive Audit API – Pull 'view', 'download', 'share' logs for PHI-labeled files.
3.8 Office 365
• Feature/Setting: Office 365 Management Activity API – Monitor 'FileAccessed', 'UserLoggedIn', and mailbox events.
3.9 Salesforce Health Cloud
• Feature/Setting: Event Monitoring API – Consume 'API Access', 'Record View', 'Export' events on patient records.
3.10 Box for Healthcare
• Feature/Setting: Box Events API – Subscribe to 'Preview', 'Download', 'Share' for PHI-tagged folders/files.
3.11 DocuSign
• Feature/Setting: Connect API – Push PHI document status changes; log recipient view events.
3.12 Zapier
• Feature/Setting: Webhooks by Zapier – Capture incoming API calls from EMR/log sources; route to audit logs.
3.13 Slack
• Feature/Setting: Audit Logs API – Track PHI file shared or message send events in healthcare-dedicated channels.
3.14 AWS CloudTrail
• Feature/Setting: LookupEvents – Fetch auditable API activity on S3 buckets storing PHI.
3.15 Azure Monitor
• Feature/Setting: Log Analytics – Query 'AuditLogs' and 'SignInLogs' for PHI-related services.
3.16 GCP Cloud Audit Logs
• Feature/Setting: Read 'Data Access' entries where resource.type=“gcs_bucket” and labels.tag="phi".
3.17 SendGrid
• Feature/Setting: Event Webhook – Capture email opens/downloads of PHI attachments; log recipient identifiers.
3.18 Twilio
• Feature/Setting: Monitor SMS/voice logs via Monitor API for PHI message events.
3.19 Jotform
• Feature/Setting: API – Fetch submission logs for forms flagged as PHI; include IP address and timestamp.
3.20 Dropbox Business
• Feature/Setting: Team Activity Log API – Monitor PHI file accesses, edits, shares by authenticated users.
3.21 Freshdesk
• Feature/Setting: API Event Webhooks – Log ticket access/exports containing PHI fields.
Benefits
4.2 Accelerate identification of suspicious PHI activity and reduce breach risks.
4.3 Streamline audit preparation with structured, queryable logs.
4.4 Enforce continuous compliance and build confidence during external reviews.
4.5 Improve accountability and transparency across all PHI touchpoints.