Compliance Guide
Meeting regulatory requirements (HIPAA, ONC, GDPR).
HIPAA (USA)
Privacy Rule
- Role-Based Access: Use strict RBAC. Minimal necessary access.
- Consent: Tracking patient consent for data sharing.
Security Rule
- Encryption: See Encryption.
- Backup: See Backup & Restore.
- Disaster Recovery: Tested periodically.
Breach Notification
- System alerts admins on suspicious mass data exports.
ONC (21st Century Cures Act)
Interoperability
- FHIR R4: We support the US Core Implementation Guide.
- Patient Access API: Patients can connect third-party apps via SMART on FHIR.
Information Blocking
- The system is designed not to block data.
- Audit logs track all Data Sharing requests.
GDPR (Europe) / CCPA
Right to be Forgotten
- Feature: "Anonymize Patient" function.
- Soft Delete: Data is scrubbed from active tables but retained in backups for legal reasons (if conflicting with retention laws).
Data Portability
- Export: Patients can download their full record as a ZIP (CCDA/PDF/JSON).
Business Associate Agreement (BAA)
- Cloud: We sign BAAs with AWS/Azure.
- Third-Party: Twilio, Stripe, etc., must be HIPAA settings enabled.