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Requirements: Record Access to Health Data

Official URL: https://profiles.ihe.net/ITI/VHL/Requirements/RecordAccessToHealthData				Version: 1.0.0-comment
Active as of 2026-06-14				Computable Name: RecordAccessToHealthData

The VHL Sharer MAY record audit events when health data is accessed through a Verified Health Link (VHL). These events support accountability, traceability, and compliance with applicable security and privacy regulations.

Audit records MAY include the following metadata:

• Timestamp of the access event
• Identity of the accessing actor (e.g., person or system)
• Type and identifier of the accessed resource (e.g., DocumentReference)
• Purpose of access, where available (e.g., treatment, consent verification)
• Outcome of the event (e.g., success, failure)

Audit events SHALL be represented using the FHIR AuditEvent resource, and SHOULD conform to applicable IHE profiles such as ATNA where appropriate. Implementers MAY define additional audit logging behavior to meet jurisdictional or organizational policies.