The 12 fields a defensible AI audit trail actually needs (healthcare edition)
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A reference spec, not a pitch: what a defensible AI-decision audit-log entry actually needs to contain, and how long you have to keep it. The 12-field baseline (2026 guidance): NTP-synced timestamp, UTC Unique decision ID Authenticated human user identity AI system identity + version Model identity + version Inputs, with source attribution The specific policy/rule invoked Human-readable reasoning trace The output The downstream action taken Human review/approval, when applicable Tamper-evident…
1Key Takeaways
- A reference spec, not a pitch: what a defensible AI-decision audit-log entry actually needs to contain, and how long you have to keep it.
- Headline: The 12 fields a defensible AI audit trail actually needs (healthcare edition)
- Category focus: Coding AI — relevant for AI builders and decision-makers.
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3Why it matters
Coding AI shifts how fast software ships and how much human review each change needs. DEV — AI reports that a reference spec, not a pitch: what a defensible AI-decision audit-log entry actually needs to contain, and how long you have to keep it.
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