Enterprise Security Standards

EHR Compliance & Security

Security is the backbone of interoperability. Every integration we build is protected by enterprise-grade safeguards and 100% HIPAA compliance.

HIPAA Certified
SOC 2 Type II
FHIR R4 Secure
HITRUST Aligned

Healthcare Interoperability Framework

A robust approach to secure healthcare data exchange that addresses technical and physical safeguards.

Interoperability Risk Assessment

Continuous identification and evaluation of threats to PHI during clinical data exchange processing.

  • Integration threat modeling
  • Vulnerability scanning
  • End-to-end encryption audit
  • Standard mapping validation

Technical Safeguards

Enterprise-grade controls that protect clinical data in transit and at rest within the integration engine.

  • OAuth2/OIDC Access
  • AES-256 Encryption
  • FHIR Resource Audit
  • Integrity verification

Administrative Safeguards

Governance and procedures designed to manage healthcare data interoperability security.

  • Compliance policies
  • Interoperability training
  • Breach response plan
  • Vendor BAA management

Infrastructure Security

Physical and logical measures to protect healthcare integration servers and databases.

  • Facility access
  • Workstation security
  • VPC Isolation
  • Secure MLLP Disposal

Multi-Layered Security Controls

Advanced technical safeguards for protecting clinical data throughout the integration lifecycle.

Data Encryption

Data at Rest
AES-256-GCM
Industry-standard symmetric encryption for clinical repositories
Data in Transit
TLS 1.3 / VPN
Secure transport for HL7 v2, v3, and FHIR communications
Message Security
WSE / PKI
Public key infrastructure for securing SOAP and RESTful clinical calls
Database Security
TDE + Column
Transparent data encryption plus field-level for sensitive PHI fields

Clinical IAM Strategy

Role-Based Access Control (RBAC)

Granular permissions ensuring clinicians and systems only access the specific EHR data needed for their workflow.

SMART on FHIR Auth

Modern, decentralized authentication using OIDC and OAuth2 scopes for clinical application access.

Scoped Data Access

Integrating with EHR permission systems to ensure the "minimum necessary" PHI is transmitted.

Secure Token Handling

Automated token refreshing, secure storage of integration credentials, and rotation of client secrets.

Integration Audit Trails

Every clinical record transmission is logged with immutable, tamper-evident records:

Source
Originating EHR or clinical system ID
Endpoint
Target destination system and API route
Standard
Data format (HL7 v2.x, FHIR R4, CCD)
User
Identity requesting the clinical data access
Status
Transmission result and integrity hash
Payload
Securely logged metadata for troubleshooting

Retention & Integrity: Our integration logs are stored in WORM (Write Once Read Many) compliant storage for 7+ years, meeting HIPAA and enterprise data retention mandates.

Proactive Data Protection

Data Flow Monitoring

24/7 automated monitoring of integration health with instant alerting for PHI leak patterns.

Anomaly Detection

Machine learning identifying unusual clinical data export volumes or unauthorized cross-system access.

Transaction Alerting

Immediate notification to compliance teams when integration errors or security events occur.

Automated Containment

Circuit breakers to automatically halt data exchange in the event of a detected security compromise.

Infrastructure & Hosting

Enterprise-grade clinical integration environments with full cloud compliance.

AWS HealthLake

  • FHIR R4 compliant storage
  • AWS Healthcare BAA
  • HITRUST CSF certified
  • High-scale messaging

Azure Health Data

  • Unified FHIR/HL7 service
  • Azure BAA standard
  • DICOM imaging support
  • SOC 2 compliant

GCP Healthcare API

  • Managed HL7v2 & FHIR
  • Google Cloud BAA
  • Auto-de-identification
  • ISO 27001 certified

Network Segmentation

Isolated VPC environments for clinical integration middleware

Intrusion Protection

IDS/IPS systems monitoring healthcare data exchange traffic

Clinical Backups

Encrypted, multi-region backups of integration configuration and logs

Edge Security

DDoS protection for public-facing clinical API endpoints

Regulatory Standards

Business Associate Agreements

As a specialized Business Associate, we provide the legal frameworks necessary for compliant clinical data integrations. Our BAAs are engineered to meet the stringent requirements of hospital systems and healthcare ventures.

  • Project-specific BAAs for complex clinical workflows
  • Full support for Information Blocking regulatory compliance
  • Transparent PHI lifecycle management documentation

Permitted Access

Defined scope of clinical data types allowed in the integration

Data Protections

Specific security measures for ePHI in the integration engine

Sub-Business Assoc.

Flow-through requirements for downstream tool/cloud providers

Breach Disclosure

Explicit timelines for reporting interoperability security incidents

PHI Returning

Procedures for return/destruction of cached integration data

Right to Audit

Covered entity's right to audit integration security controls

Security Validation & Monitoring

Vigorous security testing of every clinical integration endpoint.

Quarterly

API Penetration Test

Rigorous security testing of clinical API endpoints and OAuth2 implementations by experts.

Continuous

Compliance Scanning

Continuous automated scanning of integration infrastructure for configuration drift.

Every Change

Mapping Security Review

Security review of data transformation logic to prevent inadvertent PHI exposure.

Annual

SOC 2 / HIPAA Audits

Annual independent audits of our healthcare data handling and integration practices.

Engineering Secure Interoperability

Our interoperability engineers specialize in the high-security requirements of enterprise healthcare. We understand that clinical data exchange isn't just about moving bits—it's about protecting the safety and privacy of the patient.

HITRUST Aligned Practices
Expert PHI De-identification
SOC 2 Type II Certified

Consult a Security & Integration Expert

Ensure your EHR integration is both high-performing and fully compliant. Our engineers are ready to review your technical architecture.