How should audits be conducted after a consent revocation?

• A. Audit for completeness across connected systems.
• B. Audit should be performed monthly regardless.
• C. Audit is not required.
• D. Audit only the primary system.

Answer: (A)

When consent is revoked, the immediate goal is to ensure the revocation is honored everywhere the data could flow. Auditing for completeness across connected systems checks that every link in the network respects the change, not just a single system. This means verifying that the revocation propagates to all connected health information exchanges and interfaces, so no new disclosures occur and access is properly restricted or terminated across the entire ecosystem. It also involves confirming that the revocation event is logged and that subsequent data-sharing or access attempts are blocked according to policy. Relying on a single system or on a fixed monthly cadence risks missing lingering connections or delayed enforcement, so a comprehensive cross-system audit is the most reliable way to enforce the revocation.