How does producing tamper-evident audit evidence satisfy HIPAA requirements?

Kastra enforces producing tamper-evident audit evidence at the moment of execution and writes a signed evidence record for every decision. Auditors get a complete, append-only trail of who attempted what, what policy fired, why the decision was made, and what data was touched. This evidence maps directly to HIPAA, HITRUST, GDPR, 21 CFR Part 11 control families.