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Cloud-agnostic Python audit logger for emitting PHI-safe behavioral healthcare audit events conforming to bh-audit-schema v1.0

Project description

bh-audit-logger

Cloud-agnostic Python utilities for emitting privacy-preserving audit events for behavioral healthcare systems.

Events conform to bh-audit-schema v1.0: https://github.com/bh-healthcare/bh-audit-schema

Why

Audit logging in healthcare is often inconsistent across services and jobs. This library provides a small, boring, correct baseline for emitting structured audit events from any Python code — Lambdas, workers, CLIs, ETL jobs, cron scripts — without logging raw PHI.

It is not tied to FastAPI (see bh-fastapi-audit for middleware-based logging).

Quickstart

pip install bh-audit-logger
from bh_audit_logger import AuditLogger, AuditLoggerConfig

logger = AuditLogger(
    config=AuditLoggerConfig(
        service_name="overstory-datalake",
        service_environment="prod",
    )
)

logger.audit(
    "READ",
    actor={"subject_id": "service_lambda", "subject_type": "service"},
    resource={"type": "Patient", "id": "patient_123"},
    outcome={"status": "SUCCESS"},
    correlation={"request_id": "req_abc"},
)

By default, events are emitted as one compact JSON line via Python logging (stdout-friendly).

Example output

{"schema_version":"1.0","event_id":"6d3f0f6b-0c1a-4b9f-9d6f-9f6f7f5b2b0a","timestamp":"2026-02-17T12:00:00Z","service":{"name":"overstory-datalake","environment":"prod"},"actor":{"subject_id":"service_lambda","subject_type":"service"},"action":{"type":"READ","data_classification":"UNKNOWN"},"resource":{"type":"Patient","id":"patient_123"},"outcome":{"status":"SUCCESS"},"correlation":{"request_id":"req_abc"}}

Production usage: container logging

from bh_audit_logger import AuditLogger, AuditLoggerConfig, LoggingSink

logger = AuditLogger(
    config=AuditLoggerConfig(
        service_name="my-service",
        service_environment="prod",
    ),
    sink=LoggingSink(logger_name="bh.audit", level="INFO"),
)

Works anywhere stdout is collected: CloudWatch, GCP Cloud Logging, Azure Monitor, Kubernetes logging pipelines.

AWS Lambda / serverless

import json
import logging
from bh_audit_logger import AuditLogger, AuditLoggerConfig, LoggingSink

# Configure root logger for structured JSON to stdout (CloudWatch picks this up)
logging.basicConfig(level=logging.INFO)

audit = AuditLogger(
    config=AuditLoggerConfig(
        service_name="patient-export-lambda",
        service_environment="prod",
        service_version="2026.02.17.1",
    ),
    sink=LoggingSink(logger_name="bh.audit", level="INFO"),
)

def handler(event, context):
    audit.audit_access(
        "EXPORT",
        actor={"subject_id": "service_lambda", "subject_type": "service"},
        resource={"type": "PatientExport", "id": event.get("export_id", "unknown")},
        phi_touched=True,
        data_classification="PHI",
        correlation={"request_id": context.aws_request_id},
    )
    # ... do work ...

Each invocation emits one compact JSON line to stdout. Most platforms ingest stdout by default; configure your runtime logging pipeline as needed.

Sinks

Sink Use case Notes
LoggingSink (default) Production One compact JSON line per event via Python logging; stdout-friendly
JsonlFileSink Local dev, demos Appends to a .jsonl file; thread-safe, flush-on-write by default
MemorySink Tests Stores events in a list; use len(sink) and sink.events in assertions

Pass any sink to AuditLogger(config=..., sink=...). Omit sink to get LoggingSink by default.

Configuration

AuditLoggerConfig fields:

Field Type Default Description
service_name str required Name of the service emitting events
service_environment str "unknown" Deployment environment (prod, staging, dev)
service_version str | None None Service version/build identifier
default_actor_id str "unknown" Default actor when none provided
default_actor_type str "service" Default actor type (human/service)
metadata_allowlist set[str] set() Allowed metadata keys (empty = no metadata)
sanitize_errors bool True Sanitize error messages (redact SSN/email/phone)
error_message_max_len int 200 Max length for sanitized error messages
time_source Callable utcnow Injectable time source for testing
id_factory Callable uuid4 Injectable ID factory for testing
schema_version str "1.0" Locked to 1.0 unless overridden

PHI-safe by default (via allowlists and error sanitization)

  • No request/response bodies — the library never tries to capture payloads
  • Metadata is opt-in and strictly allowlisted — only keys in metadata_allowlist pass through; values must be scalar JSON types (str, int, float, bool, null)
  • Error messages are sanitized — SSN, email, phone patterns are redacted and messages are length-capped
  • PHI safety is enforced by tests that assert synthetic PHI tokens never appear in emitted events

Important: This library does not attempt to detect or remove PHI from user-supplied IDs or free-text fields beyond the configured allowlist and error-message sanitization. Treat resource IDs (e.g. patient_id) as sensitive and prefer surrogate identifiers wherever possible. The goal is safe defaults, not total PHI stripping.

Do not do this

# BAD: patient name in metadata
logger.audit("READ", resource={"type": "Patient"}, metadata={"patient_name": "Jane Doe"})

# BAD: full stack trace in error (may contain PHI from variables)
logger.audit("READ", resource={"type": "Patient"}, error=traceback.format_exc())

# BAD: MRN or SSN as a resource ID
logger.audit("READ", resource={"type": "Patient", "id": "123-45-6789"})

Instead, use surrogate IDs, keep metadata to operational keys (job name, batch ID, region), and let sanitize_errors=True (the default) handle error messages.

Schema conformance

All events conform to bh-audit-schema v1.0. Required fields:

  • schema_version = "1.0"
  • event_id (UUID)
  • timestamp (UTC ISO 8601)
  • service (name, environment)
  • actor (subject_id, subject_type)
  • action (type)
  • resource (type)
  • outcome (status)

Optional schema validation

pip install bh-audit-logger[jsonschema]
from bh_audit_logger import validate_event

event = {...}
validate_event(event)  # raises ValidationError on failure

Validates against the vendored bh-audit-schema v1.0 JSON schema included in the package.

Related projects

License

Apache 2.0

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