HIPAA Audit Evidence

For healthcare deployments handling PHI, DRS can provide tamper-evident proof of authorization and invocation activity. The current tooling is useful, but it is not yet a dedicated HIPAA export pipeline.

What DRS can show today

HIPAA concernCurrent DRS evidence
Record activity in PHI systemssigned invocation receipt
Verify authorization before accesssigned delegation chain
Tamper evidenceEd25519 signatures + prev_dr_hash chain
Independent verificationdid:key-based signature checks

Current evidence workflow

pnpm exec drs verify bundle.json > verify.txt
pnpm exec drs audit bundle.json > audit.txt

Archive these outputs together with the original bundle.json.

Storage caveat

The canonical storage model points regulated deployments toward Tier 3 / Tier 4 postures, but the current implementation does not enforce WORM semantics on the filesystem backend. RFC 3161 timestamping is available when TSA_URL is set, and TSA failures are best-effort.

See:

What is not implemented

The current repo does not ship:

  • drs audit retrieve
  • drs audit export --format hipaa
  • a HIPAA-specific export schema

If you need HIPAA packaging today, build it from the raw bundle plus verifier and audit outputs.