Industry Solution

Healthcare SaaS Audit Logging

HIPAA-compliant audit logging for healthcare SaaS platforms. Track access to electronic protected health information (ePHI) with cryptographic integrity verification.

Overview

Healthcare SaaS platforms must comply with HIPAA, which mandates audit controls for all systems containing electronic protected health information (ePHI). The HIPAA Security Rule (45 CFR 164.312(b)) requires audit controls that record and examine activity in information systems. Beyond HIPAA, healthcare organizations increasingly require SOC 2 compliance from their vendors and may need to comply with state-level health privacy laws. AuditKit provides the immutable audit trail infrastructure that healthcare SaaS companies need to protect patient data, satisfy HIPAA requirements, and sign Business Associate Agreements with confidence.

Compliance requirements

HIPAA Security Rule (45 CFR 164.312(b) - Audit Controls)

HIPAA Privacy Rule (access and disclosure logging)

HITECH Act (breach notification and enhanced penalties)

SOC 2 Type II

State health privacy laws (CCPA health data, SHIELD Act)

21st Century Cures Act (information blocking provisions)

Events you should be logging

EventDescription
phi.accessedProtected health information viewed or accessed
phi.exportedPHI exported or downloaded
phi.modifiedPatient record updated or corrected
consent.grantedPatient consent recorded
consent.revokedPatient consent withdrawn
disclosure.loggedPHI disclosure to third party logged
break_glass.activatedEmergency access override used
user.role_changedClinical user role or access level modified

Audit requirements for healthcare saas

ePHI access logging

Every access to electronic protected health information must be logged with who accessed it, when, what was accessed, and the purpose. This is fundamental to HIPAA compliance.

Disclosure tracking

HIPAA requires tracking of all PHI disclosures to third parties. Patients have the right to request an accounting of disclosures for the past 6 years.

6-year retention

HIPAA requires retention of security-related documentation for 6 years from creation or last effective date (45 CFR 164.530(j)).

Integrity verification

HIPAA 164.312(c)(1) requires integrity controls for ePHI. Audit logs documenting access and changes to ePHI must themselves be protected from tampering.

Why healthcare saas companies choose AuditKit

Tamper-proof audit trails

SHA-256 hash chains and Merkle tree proofs provide mathematical proof that your healthcare saas audit records have not been altered. This level of integrity assurance is increasingly expected by regulators and auditors.

Multi-tenant isolation

AuditKit enforces strict tenant isolation at the infrastructure level. Your customers' audit data is logically separated, satisfying data segregation requirements common in healthcare saas compliance frameworks.

SIEM integration

Stream audit events to your existing SIEM for real-time monitoring and alerting. AuditKit integrates with Splunk, Datadog, Elastic, and other platforms commonly used in healthcare saas security operations.

Open source transparency

AuditKit is open source, so your security team and auditors can inspect the code. This transparency is particularly valued in healthcare saas where trust and verifiability are paramount.

Frequently asked questions

What audit logging does HIPAA require for SaaS platforms?

HIPAA Security Rule 164.312(b) requires audit controls that record and examine activity in systems containing ePHI. This includes logging all access to patient records, authentication events, data modifications, and administrative actions. Logs must be retained for 6 years and protected from tampering. AuditKit satisfies these requirements with SHA-256 hash chains and configurable retention policies.

Does AuditKit provide a BAA for healthcare customers?

Yes. AuditKit offers Business Associate Agreements for healthcare customers on paid plans. The platform includes encryption at rest and in transit, tenant isolation, and HIPAA-compliant audit logging with 6-year retention support.

Other industries

Related resources

Audit logging built for healthcare saas

Tamper-proof audit trails that satisfy healthcare saas compliance requirements. Start from $99/mo.