Enterprise Security & Trust Center

Security & Governance,
Built Into Every Layer

HealthCloud is designed for regulated healthcare environments. Role-based access control, immutable audit logging, and consent-driven data flows are enforced at every API boundary — not bolted on after the fact.

HIPAA· Compliant
FHIR R4· Validated
SOC 2 Type II· In Progress
FDA-Ready· Pre-Submission

284K+

Audit Events / Day

96%

Compliance Score

100%

PHI Access Logged

99.97%

Uptime SLA

Trust Architecture Pillars

Four governance layers enforced across every HealthCloud environment

Role-Based Access Control

Fine-grained RBAC enforced at every API boundary. Each clinical role has precisely scoped permissions — care coordinators cannot access billing data; executives cannot modify clinical workflows.

  • 4 built-in clinical roles
  • Per-resource permission model
  • Least-privilege enforcement
  • Real-time policy evaluation

Immutable Audit Logging

Every data access, workflow execution, model deployment, and policy change is logged to an append-only audit trail. Exported as FHIR AuditEvent R4 resources for regulatory submissions.

  • FHIR AuditEvent R4 format
  • Append-only event store
  • 20+ action categories tracked
  • SIEM integration ready

HIPAA-Aligned Compliance

Platform architecture and data flows are aligned with HIPAA Security Rule requirements. PHI access is logged, encrypted at rest (AES-256) and in transit (TLS 1.3), with BAA available for covered entities.

  • AES-256 encryption at rest
  • TLS 1.3 in transit
  • BAA available
  • PHI access log exports

Consent-Driven Data Flows

Data sharing across organizations requires explicit consent grants. Patients control who can access their data. API responses are automatically filtered based on active consent agreements.

  • Patient-controlled consent
  • Org-level data sharing policies
  • Auto-filtered API responses
  • Consent audit trail

Governance Deep Dive

Detailed implementation specifics across all six governance domains

RBAC & Permissions

  • Four platform roles: Admin, Medical Director, Care Coordinator, and Executive — each with explicit permission matrices
  • Fine-grained resource-level controls: read, write, delete, and export permissions per resource type
  • UI gating via usePermission React hook — inaccessible features are hidden, not just disabled
  • All permission changes are logged in the immutable audit trail with actor, before, and after state
  • Least-privilege defaults: new users receive care_coordinator role with read-only PHI access until elevated
  • Role assignments reviewed quarterly with automated access certification workflows

Audit & Traceability

  • Every PHI access, modification, export, and deletion generates a structured AuditEvent with actor, action, resource, IP, and session ID
  • Risk-level classification (low / medium / high / critical) automatically applied to each event based on action and resource type
  • Compliance tags (HIPAA, FHIR, SOC 2, GDPR, PHI, PII) attached to each event for filtered reporting
  • Before/after state diff recorded for all write operations — full change history preserved
  • Real-time audit stream via WebSocket (production) or polling (demo) — zero-latency event visibility
  • Tamper-evident audit log stored separately from application data with cryptographic integrity verification

Compliance Monitoring

  • Continuous compliance score calculated from high-risk event ratio, PHI access patterns, and failed authentication attempts
  • HIPAA, FHIR R4, SOC 2 Type II, and GDPR control breakdowns surfaced in the Compliance Dashboard
  • PHI Access Tracker monitors all protected health information access across all roles in real time
  • Automated HIPAA report generation with one click — JSON export includes full event audit, actor summary, and risk breakdown
  • Policy engine evaluates PHI Access Policy and RPM Data Policy continuously — violations trigger alerts
  • Anomaly detection flags unusual access patterns: off-hours PHI access, bulk exports, and repeated failures

Consent & Data Ownership

  • Patient-controlled consent ledger — every data sharing agreement is recorded with granular resource and purpose scope
  • Consent versioning: each consent update is timestamped and immutable; prior versions are always accessible
  • Right-to-erasure workflows: patients can request deletion of non-clinical data with automated propagation across connected systems
  • Data residency controls: patient data is localized per jurisdiction with configurable cloud region pinning
  • Third-party data sharing requires explicit consent linkage — no data leaves the platform without a valid, active consent record
  • Consent expiry and renewal: automated notifications sent to patients 30 days before consent expiration

Multi-Tenant Architecture

  • Strict tenant isolation at the data layer — row-level security ensures no cross-organization data leakage
  • Each organization operates in its own FHIR namespace with independent audit logs and compliance scores
  • Organization-level RBAC: tenant admins manage their own role assignments without platform admin access
  • Tenant-specific encryption keys managed via AWS KMS / Azure Key Vault with customer-managed key option
  • Per-tenant rate limiting and resource quotas prevent noisy-neighbor impact on other organizations
  • Dedicated HIPAA Business Associate Agreements per tenant — compliance posture is independently verifiable

Copilot Governance

  • All AI Copilot interactions are logged in the audit trail with prompt, response, and model version recorded
  • Copilot actions that modify patient data require explicit human confirmation — no autonomous writes without approval
  • PHI redaction layer: Copilot responses are scanned and sanitized before display to prevent inadvertent PHI exposure
  • Model explainability: risk scores and clinical recommendations include confidence intervals and evidence citations
  • AI model lineage tracked per inference: training date, version, and validation dataset documented in model registry
  • Bias monitoring: model outputs are continuously evaluated across demographic cohorts with quarterly fairness audits

Live Audit Trail

Every action across every user, role, and resource — captured in real time

View Full Dashboard
audit.stream · live · 284,000 events today
TimeActorActionResourceRisk
14:23Dr. Sarah Chenphi.accessPatient P-10042medium
14:21Lisa Rodriguezmodel.deployCardioRisk v2.2high
14:18James Walkerpatient.enrollPatient P-10088low
14:12Michael Patelreport.generatedHIPAA Q1 2026low
13:15Lisa Rodriguezpolicy.updatePHI Access Policyhigh

Role-Based Access Matrix

Each role has precisely scoped permissions — no over-provisioning, no exceptions

Medical Director

Permitted

  • Read/Write PHI
  • Approve Workflows
  • Deploy Models
  • Read Analytics

Denied

  • ✕ Billing Management
  • ✕ Policy Editing

Care Coordinator

Permitted

  • Read PHI
  • Execute Workflows
  • Manage Alerts
  • Read Analytics

Denied

  • ✕ PHI Export
  • ✕ Model Deployment
  • ✕ Policy Editing

Platform Admin

Permitted

  • Full System Access
  • Policy Management
  • Audit Log Export
  • Deployment Control

Denied

  • ✕ Clinical Decision Approval

Executive / VP

Permitted

  • Read Analytics
  • Read Billing
  • Approve Budget
  • Read Reports

Denied

  • ✕ PHI Write
  • ✕ Workflow Execution
  • ✕ Policy Editing

Compliance Posture

Current compliance status across key regulatory frameworks

Data encryption at rest (AES-256)HIPAA
Data encryption in transit (TLS 1.3)HIPAA
Role-based access control (RBAC)RBAC
Immutable audit logging (FHIR AuditEvent R4)HIPAA
FHIR R4 resource validationFHIR
Business Associate Agreement (BAA) availableHIPAA
Consent-driven data sharingHIPAA
PHI access log export (quarterly)HIPAA
Penetration testing (Q2 2026)SOC 2Pending
Privacy Impact AssessmentSOC 2Pending
SOC 2 Type II auditSOC 2Pending

Ready to Deploy in a Regulated Environment?

Our compliance team can walk you through BAA execution, audit log configuration, and RBAC setup for your organization.

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