Thursday, July 16, 2026

Profiling AuditEvent seems to be an emerging need

Watching the report outs for the CMS FHIR Connectathon. Many are mentioning that they see a need to profile AuditEvent for their use-case needs to support data access traceability, privacy tracking, and provenance. I very much agree with this. 

IHE has the starter kit with the Basic Audit Log Patterns (BALP)  Implementation Guide defines the basics and has some profiles for common REST interactions.

I often need to remind people that defining AuditEvent profiles can be supported purely as a Query interface. In this case the system keeps their audit log in their native format, but knows how to convert that into the FHIR Standard AuditEvent when queried.

I would be glad to provide pointed and short-term consulting -- see Moehrke Research LLC 

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