HIPAA · accountability
Tamper-evident audit log
Every access, write, network query, and consent action is logged with actor, purpose-of-use, and a hash-chained signature. Replayable for any investigation.
Events 30d
2.14M
≈49.5k / day
Hash-chain breaks
0
Since inception
Break-glass events
11
All reviewed within 24h
Avg write latency
6ms
Async fan-out · WORM store
Live tail · today
| Time | Actor | Action | Target | Purpose | Source | Hash |
|---|---|---|---|---|---|---|
| 12:04:18 | Dr. P. Patel (NPI 1437219082) | READ | Patient/carter-demo-001 | TREAT | Westside Clinic | a8f3…91d2 |
| 12:04:19 | Dr. P. Patel | READ | Bundle ($everything) | TREAT | Carequality · 4 orgs | b1c0…7e4a |
| 12:06:42 | system:cds-hooks | EXEC | carter-opioid-mme | TREAT | order-sign | f7e2…204b |
| 12:08:11 | Maya Okafor | CONSENT | grant TREAT → Westside · 12mo | — | Patient app | 9a3d…ffc1 |
| 12:12:03 | Dr. P. Patel | WRITE | DocumentReference/encounter-2026-05-21 | TREAT | Carter Med | 44b8…0e19 |
| 12:14:55 | system:erx | SEND | MedicationRequest/lisinopril-10 | TREAT | Surescripts | c0d2…ab07 |
| 12:18:29 | ED clinician @ Methodist | BREAK_GLASS | Patient/dana-kim | ETREAT | Methodist Hospital | 7711…5fa3 |