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A core part of the CMS Health Tech Ecosystem is patient-directed access: people should be able to see when an app reaches out to connected networks for their data. haau3 records every retrieval and shows it back to the caregiver or patient in plain view.

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Where retrievals happen

In the Get records activity, a caregiver or patient retrieves records for the active patient using verified, network-based access (via Fasten Health across the CMS Aligned Networks). Each time someone initiates a retrieval there, haau3 logs it.

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The “Past retrievals” log

At the bottom of Get records is a read-only Past retrievals panel. It is collapsed by default with a count, and grows over time as more retrievals happen. Opening it lists each retrieval with:
  • The network or source the records came from. When individual names resolve, they show as chips; otherwise the entry shows a summary such as “3 connected networks”.
  • The date and time the retrieval started.
  • A status (for example, in progress, complete, or failed).
  • A line confirming the data was retrieved for the named patient.
This gives a caregiver or patient a clear access history: what the app pulled, from where, when, and for whom. It is the app’s record of its own access to the networks (data coming in), which is separate from the share audit trail for outbound SMART Health Links covered in Generate a SMART Health Link.

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Who can see it

The log is shown in the app to the caregiver or patient managing that patient context. It is read-only: entries are recorded by haau3 and cannot be edited or removed from the view.