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Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems (formerly ASTM 2147-18)

Basics

Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems (formerly ASTM 2147-18)

1938
Ballot - Normative (no STU)


White Paper

Create New Standard

Details

From existing ASTM E2147 Abstract: This specification describes the security requirements involved in the development and implementation of audit and disclosure logs used in health information systems. It specifies how to design an access audit log to record all access to patient identifiable information maintained in computer systems, and includes principles for developing policies, procedures, and functions of health information logs to document all disclosure of confidential health care information to external users for use in manual and computer systems. This specification provides for two main purposes, namely: to define the nature, role, and function of system access audit logs and their use in health information systems as a technical and procedural tool to help provide security oversight; and to identify principles for establishing a permanent record of disclosure of health information to external users and the data to be recorded in maintaining it.


ASTM E2147 "Standard Specification for Audit and Disclosure Logs for Use in Health Information Systems" is a legacy specification that ASTM and HL7 have agreed to transfer to HL7. HL7 should take on the standard as close to "as is" so that the external community can understand the transition of ownership; then HL7 should improve the specification based on comments received in ballot and in workgroup consensus.



Submit for direct to Normative ballot in January 2026


https://jira.hl7.org/browse/PSS-2569 https://confluence.hl7.org/spaces/SEC/pages/358891253/HL7+ASTM+E2147+Project

This is an abstract model that is made concrete by other specifications, including EHR FM, FHIR AuditEvent, DICOM AuditMessage, IHE-ATNA, and TEFCA QTF. Sections 7.1.1, 7.1.2 and 7.1.6, through 7.1.9 are specified in US regulatory text [§ 170.210(h)] and Certification Criteria [§170.315(d)(2), (3), and 10]

EHR FM, EHR Lifecycle Management System, FHIR AuditEvent


HL7 EHR, HL7 FHIR, DICOM, and IHE


Security and Privacy Audit Log Logical Model; Lifecycle Management Audit Log; Abstract Audit Log Model for Healthcare


Yes

Yes

No

Stakeholders: Academic/Research, Association/Goverment Agency, Consultant, Healthcare IT Vendors, Healthcare Provider/user, Other, Patients, Payer/Third Party Administrator, Pharmaceutical/Biotech, Providers, Regulatory Agency, Standards Development Organizations (SDOs), Vendor/Manufacturer
Organization & Realm

Universal

People

Jonathan Coleman



Security Work Group


Status & Dates

Active

Active Project (Resources assigned to pjt)

09/30/2025

01/01/2027

2027 Jan WGM/Ballot

09/15/2026

2026 Sept WGM/Ballot

2026 MAY Ballot Cycle Info: NORMATIVE Ballot Results: Met basic vote requirements. 1 Negative to reconcile Document Name: HL7 Specification: Audit and Disclosure Logs for Use in Health Information Systems, Edition 1
Approvals

11/18/2025


Not Needed


Not Needed


Not Needed


System Info

253279

PSS-2569



06/26/2026

Anne Wizauer