“Who saw this record?” Answer it in seconds.
HIPAA and GDPR ask one question about patient data. Most systems cannot answer it.
Easy to use. Hard to prove.
§164.312(b) requires mechanisms that record and examine activity in systems containing ePHI — and that you actually review them.
Health data is special category. Accountability means showing who could reach it, and who did.
Diagnostic and decision-support models read the same records. Their training and input data has to be traceable.
What changes with Lakekeeper.
Access control and the audit record become properties of the data itself.
Lakekeeper helps you meet HIPAA's access-control and audit obligations and supports GDPR accountability for special-category health data. It is not a compliance certification and does not by itself guarantee HIPAA or GDPR compliance.
Turn access to patient data from something you hope is controlled
into something you can prove.
Bring your CISO or privacy lead, plus whoever owns your data platform.
Sources: HHS OCR settlement with Montefiore Medical Center (Feb 2024); HHS OCR breach portal, 2025 reporting year; IBM Cost of a Data Breach Report 2026 (healthcare sector); IBM Cost of a Data Breach, healthcare industry analysis (stolen-credential resolution time).