Compliance with privacy legislation is a primary concern for health care institutions that are building information systems support for their business processes. This paper describes a requirements management framework that enables health information custodians (HIC) to document and track compliance with privacy legislation. A metamodel is defined for our framework to define compliance tracking links between separate User Requirements Notation models of the HIC and privacy legislation. Using examples from a case study at a major teaching hospital, we show how this framework can be used to manage change and ensure compliance when privacy legislation is amended or the business processes evolved.