Audit and Logging

Audit logging is essential in healthcare systems because it:

Protects Patient Privacy: Tracks who accessed sensitive medical records, ensuring compliance with privacy laws like HIPAA
Prevents Data Breaches: Helps detect and investigate unauthorized access to patient data
Ensures Accountability: Records all changes to medical records, creating a clear trail of who modified what and when
Supports Legal Requirements: Provides evidence for compliance audits and legal investigations

Aidbox provides comprehensive audit and logging capabilities:

FHIR Basic Audit Logging Profile (BALP) implementation
FHIR Resource versioning
Logging configuration

FHIR Basic Audit Logging Profile (BALP) implementation

Aidbox supports the FHIR BALP Implementation Guide.

Aidbox as a source of audit events

When audit logging is enabled, Aidbox produces audit logs for significant events:

FHIR CRUD & Search operations for basic FHIR resources and custom resources
FHIR CRUD & Search operations for patient compartment, FHIR resources, and custom resources
Authentication & Authorization events (login, logout, SMART on FHIR authorization, etc)
[WIP] Security & configuration updates.

Aidbox as an Audit record repository

Aidbox is an Audit record repository (ARR) for FHIR AuditEvent resources. Aidbox supports

POST /fhir/AuditEvent to record events
GET /fhir/AuditEvent to receive them

External Audit record repository support

Aidbox can also send Audit Events to a dedicated, external repository. In this case, Aidbox groups outgoing events into a single FHIR Bundle of type collection and delivers it to the target endpoint.

For setup instructions and payload examples, see the External Audit Repository Configuration section of the guide.

FHIR Resource versioning

A separate version is recorded in the history table each time a resource is created, updated, or deleted.

All versions can be accessed using the _history operation.

Logging configuration

Aidbox automatically logs all auth, API, database, and network events, so in most cases, basic audit logs may be derived from Aidbox logs.

Aidbox also provides ways to extend Aidbox logs.