image

Enterprise-Wide Audit Logging System

Complete Audit Trail for Medical Records, Financial Data, Accounting Transactions, Inventory, and Business Operations

HIPAA SOX GDPR PIPEDA UAE PDPL Qatar Law AU Privacy Act NZ Privacy Act

Data Categories We Log

Our comprehensive audit logging system captures ALL data categories across your entire business - from patient records to financial transactions.

Medical & Health Data (HIPAA/GDPR)

  • Patient demographics & contact info
  • Medical records & diagnoses
  • Prescriptions & medications
  • Lab test orders & results
  • Immunization records
  • Growth charts & developmental milestones
  • Physiotherapy assessments & progress notes
  • Treatment sessions & SOAP notes
  • Appointment schedules & cancellations
  • Patient-guardian relationships

Financial & Accounting Data (SOX)

  • Billing invoices & payments
  • Sales transactions & receipts
  • Purchase orders & procurement
  • Inventory & stock adjustments
  • Returns & refunds
  • Income & revenue tracking
  • Expenses & operational costs
  • Assets & depreciation
  • Liabilities & debts
  • Equity & owner investments
  • Bank accounts & reconciliations

Business Operations Data

  • User accounts & access control
  • Customer/supplier master data
  • Medicine & product catalogs
  • Treatment packages & pricing
  • Insurance claims processing
  • Audit log itself (tamper-proof)
  • System configuration changes
  • Export & data transfer events
  • Login/logout & authentication
  • Failed access attempts

Actions We Log For Every Data Type

VIEW
Every time anyone views patient records, medical history, billing information, appointments, financial data, or inventory
INSERT
Every new patient, prescription, billing, appointment, sale, purchase, inventory item, or user account created
UPDATE
Every change to any record - medical, financial, inventory, or master data (before and after values captured)
DELETE
Every deletion of any record (full before-image preserved for audit)
EXPORT
Every time data is downloaded, printed, or exported (financial or medical)
PAYMENT
Every payment recorded, refund issued, or financial adjustment made
LOGIN/LOGOUT
All user authentication events with IP tracking
STOCK ADJUSTMENT
Every inventory change (add, remove, set) with reason

What Each Log Entry Contains

Field Description Purpose
user_idWho performed the actionAccountability
user_roleRole of the user (admin, doctor, accountant, cashier)Segregation of duties
actionVIEW / INSERT / UPDATE / DELETE / EXPORT / PAYMENTAction type
table_nameWhich table was accessed (patients, billing, inventory, etc.)Data category
record_idWhich specific record was accessedRecord identification
old_valueBefore image (for UPDATE/DELETE)Full audit trail
new_valueAfter image (for INSERT/UPDATE)Change tracking
ip_addressIP address of the userLocation tracking
session_idPHP session IDSession tracking
created_atTimestamp of actionTimeline evidence
reasonPurpose of access (treatment, payment, operations)Justification
patient_idLink to patient for HIPAA accounting requestsHIPAA compliance
financial_transaction_idLink to financial transactionSOX compliance
old_financial_valuePrevious amountFinancial audit trail
new_financial_valueNew amountFinancial audit trail
journal_entry_typedebit/credit/reversal/adjustmentDouble-entry accounting
debit_accountAccount being debitedSOX compliance
credit_accountAccount being creditedSOX compliance

International Compliance Requirements Covered

United States - HIPAA / HITECH

Audit controls required for all systems containing ePHI. Must record and examine activity. 6-year retention. Business Associate Agreements required.

United States - SOX (Sarbanes-Oxley)

Financial audit trails for all accounting transactions. Need before/after values, journal entries, approval workflows, segregation of duties.

Europe - GDPR (EU, UK, Switzerland)

Right to access, rectification, erasure. Record of processing activities (ROPA). Data protection impact assessments. Standard Contractual Clauses for transfers.

Canada - PIPEDA / PHIPA

Meaningful consent required. Breach notification. Accountability principle - documented safeguards. Provincial rules (Ontario PHIPA) require explicit privacy policies.

France - HDS Certification

Mandatory HDS (Hébergement de Données de Santé) certification for hosting French health data. End-to-end encryption. Strict data localization.

Middle East - UAE PDPL / Qatar Law

Strict data localization. 25-year health data retention (UAE). Cross-border transfer restrictions. Tamper-proof audit trails required.

Australia - Privacy Act 1988 / My Health Records Act

Notifiable Data Breaches scheme. Prohibition on identifiable health record export. 13 Australian Privacy Principles (APPs).

New Zealand - Privacy Act 2020 / Health Information Privacy Code

13 Information Privacy Principles (IPPs). Mandatory breach notification. Reasonable security safeguards required for all health information.

Data Retention Requirements

'
Regulation Retention Period Requirements
HIPAA (US)6 yearsAudit logs must be retained for 6 years from creation
SOX (US)7 yearsFinancial audit records must be retained for 7 years
GDPR (Europe)As neededRetain as long as processing purpose exists + limitation period
UAE Health Data Law25 yearsHealth data must be retained for 25 years after last visit
France HDS10 yearsMinimum 10-year retention for healthcare records
Australia My Health Records30 yearsMy Health Record data retention requirement
Canada PIPEDAAs neededAs long as necessary for identified purposes
Our Retention Policy: Audit logs are retained for a minimum of 7 years (exceeding HIPAA 6-year requirement) and up to 25 years for UAE clients. Logs are immutable and append-only.

Audit Trail Integrity & Security

Append-Only Logs
Log entries are only INSERTED, never UPDATED or DELETED. Tamper-proof audit trail.
Separate Database User
Audit logs are written using a database user with INSERT-only privileges.
IP & Session Tracking
Every log includes IP address, user agent, and session ID for forensic tracking.
📋 Audit Logs Available for Regulatory Inspection
All audit logs are maintained for the required retention periods and are available for inspection by authorized regulatory bodies including HHS (US), Supervisory Authorities (EU), CNIL (France), PIPEDA Commissioners (Canada), UAE Data Office, OAIC (Australia), and NZ Privacy Commissioner. For audit requests, contact [email protected]