Encryption in Transit and at Rest
TLS 1.2+ for all PHI in transit, AES-256 for all PHI at rest — databases, backups, and object storage. No unencrypted PHI anywhere.
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What HIPAA Compliant Software Development Covers
The HIPAA Security Rule becomes concrete architecture decisions — encryption, access control, audit logging, and breach response, built in from the start.
Access Controls & Authentication
Role-based access limits PHI to each user role, with unique IDs, session timeout, and MFA so every access event is attributable.
Audit Logging
Every PHI access is logged — who, what, when, from where. Logs are tamper-proof, retained per law, and built in from day one.
Backup & Disaster Recovery
Exact retrievable ePHI copies with tested restoration, defined recovery time objectives, and documented backup procedures.
Minimum Necessary Access
APIs return only the patient data a request needs — data minimization at the query and API layer, not the full record every time.
Business Associate Agreements
A signed BAA with every healthcare customer and cloud provider before PHI is shared — but a BAA alone does not make an app compliant.
How We Build HIPAA Compliant Software
A five-step process from threat modeling to policy documentation, each with the technical deliverables that pass enterprise security reviews.
Why HIPAA Compliance Is a Commercial Enabler
Each consequence traces to a specific compliance gap.
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The average cost of a healthcare data breach in 2023 — the highest of any industry. Building compliance in is the cheaper alternative.
BAA First
BAAs must be signed before any PHI is shared — with every customer and cloud provider. No BAA, no legal basis for handling patient data.
Day One
Controls designed into the architecture cost a fraction of what they cost retrofitted later. They are decisions, not end-stage features.
Pass Reviews
Health systems, hospitals, and payers run detailed security reviews before signing. No demonstrable HIPAA controls means no deal.
AES-256
All stored PHI encrypted with AES-256, all transmitted PHI over TLS 1.2+. No unencrypted patient data in any environment.
72 Hours
The maximum breach notification window under HIPAA. Detection and notification workflows must be tested before a breach, not after.
The Technical Requirements HIPAA Actually Imposes on Software
Each Security Rule requirement maps to a specific code and architecture decision, not a checklist item.
Encryption
Encryption Requirements
TLS in transit, AES-256 at rest — the Security Rule standards.
Access
Access Control Requirements
Role, user, and session-level limits on who can access ePHI.
Audit
Audit Logging Requirements
ePHI activity logged to detect and investigate unauthorized access.
Backup & DR
Backup & Disaster Recovery
Exact retrievable ePHI copies plus tested restoration processes.
BAA & Policy
BAA & Administrative Controls
BAAs and documented policies alongside technical controls.
Cloud
HIPAA-Eligible Cloud Services
BAA-covered cloud services — your team still owns the controls.
The HIPAA Development Stack We Build On
Security libraries, cloud services, and compliance tooling matched to your environment to satisfy HIPAA safeguards.
A
AWS HIPAA
A
Azure Healthcare
G
Google Cloud HCAPI
A
AWS HealthLake
A
Azure Health Data
A
AWS KMS
A
Azure Key Vault
G
Google Cloud KMS
T
TLS 1.2 / 1.3
A
AES-256
A
AWS IAM
A
Azure AD / Entra
A
Auth0
O
Okta
R
Role-Based Access
A
AWS CloudTrail
A
Azure Monitor
D
Datadog
S
SOC 2 Type II
H
HITRUST CSF
PHI Belongs Behind the Right Controls. Let's Build That Foundation.
We build HIPAA safeguards into the architecture from the first line of code. Book a consultation to see what that looks like for your product.
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Frequently Asked Questions
[ 1 ]
Does HIPAA apply to Canadian digital health companies serving U.S. customers?
Yes. HIPAA applies based on whether you handle U.S. patient PHI, not where you are located — a Canadian company processing it is a Business Associate bound by BAAs and the Security Rule.
[ 2 ]
What is the difference between being HIPAA compliant and being HIPAA certified?
No government agency issues an official HIPAA certification. Companies claiming it passed a third-party audit against HIPAA requirements — useful proof for customers, but not a government credential.
[ 3 ]
What is a Business Associate Agreement and when is it required?
A BAA is a contract setting terms for sharing PHI between a Covered Entity and a Business Associate. It must be signed before any PHI is exchanged — with every healthcare customer and cloud provider.
[ 4 ]
What does HIPAA compliance mean for cloud-hosted healthcare applications?
Cloud hosting is allowed when the provider signs a BAA and controls are in place. But a cloud BAA alone does not make your app compliant — your team still owns encryption, access, and audit logging.
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