A woman suing a hospital over treatment that allegedly caused brain damage should be allowed to access “audit trail” information outlining which health care providers viewed her medical records and whether those records were manipulated, a Pennsylvania judge has ruled in an apparent case of first impression.

Lackawanna County Court of Common Pleas Judge Terrence R. Nealon, ruling in Baker v. Geisinger Community Medical Center, determined that the hospital should turn over the requested metadata that shows how the plaintiff’s medical records were viewed from the start of her stay through the present litigation.