| Time | User | Role | Action | Resource | UHID | Endpoint | Status |
|---|
๐ SHA-256 Hash Chain Verification
Verifies that no audit log entries have been tampered with (21 CFR Part 11 ยง11.10(e))
๐ HL7 FHIR R4 REST API
Content-Type: application/fhir+json ยท Reference: hl7.org/fhir/R4
GET/fhir/metadataCapabilityStatement
GET/fhir/Patient/{uhid}Patient resource
GET/fhir/Immunization?patient={uhid}Vaccination
history
GET/fhir/Consent?patient={uhid}Consent
records
GET/fhir/Observation?patient={uhid}Growth
measurements
GET/fhir/AuditEvent?patient={uhid}Audit
trail
๐ Terminology Bindings
| Domain | System | Standard | Coverage |
|---|---|---|---|
| Vaccines | CVX (CDC) | HL7 FHIR | 20 codes |
| Vaccines | SNOMED CT | IHTSDO | 20 codes |
| Vaccines | ATC (WHO) | WHO | 20 codes |
| Observations | LOINC | Regenstrief | 14 codes |
| Diagnoses | ICD-11 | WHO | 10 codes |
| Diagnoses | ICD-10-CM | CMS | 10 codes |
| Diagnoses | SNOMED CT | IHTSDO | 10 codes |
| Consent | HL7 v3 ActReason | HL7 | 6 codes |
๐ Regulatory Compliance Status
- โ DPDP Act 2023 (India) โ Consent management, processing records, withdrawal support
- โ GDPR (EU) โ Purpose-based consent, right of access, data processing records
- โ HIPAA (US) โ PHI audit trail, access logging, immutable records
- โ 21 CFR Part 11 (FDA) โ SHA-256 hash-chain audit integrity, electronic records
- โ HL7 FHIR R4 โ Patient, Immunization, Consent, Observation, AuditEvent resources
- โ SNOMED CT โ 30+ clinical concept codes mapped
- โ LOINC โ 14 observation codes (vitals, growth, lab)
- โ CVX (CDC) โ 20 vaccine codes mapped
- โ ICD-11 / ICD-10-CM โ 10 neonatal diagnosis codes
- โณ IEC 62304 โ SDLC documentation template ready
- โณ ISO 14971 โ Risk management file template ready
- โณ SOC 2 Type II โ Audit infrastructure in place, formal audit pending
- โ ๏ธ Database โ SQLite (dev) โ PostgreSQL required for production
- โ ๏ธ Encryption at rest โ Not yet implemented (required for HIPAA/GDPR production)
๐ฅ Data Protection Officer (DPO)
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๐ Per-Country Compliance
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๐ Health Information Exchange (HIE) Status
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๐ฅ Certification Readiness
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๐ 8-Chapter Assessment
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โ ๏ธ Priority Gaps
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