Cybersecurity Framework

Building secure healthcare applications from day one
View as Markdown

Healthcare data is the most valuable target for cybercriminals. A single breach can destroy user trust, trigger regulatory penalties, and end your chances of partnering with health systems.

Zero Trust Architecture

Traditional security assumed everything inside the network was trusted. Zero Trust assumes nothing is trusted:

  • Verify explicitly: Authenticate and authorize every request
  • Least-privilege access: Minimum access necessary for each role
  • Assume breach: Design as if attackers are already in your system

Encryption

StateRequirementImplementation
At restAES-256Database encryption, S3 server-side encryption
In transitTLS 1.3All API endpoints, database connections
On devicePlatform KeychainiOS Keychain, Android Keystore
BackupsAES-256Encrypted backup storage

Authentication and Access Control

  • Multi-factor authentication: Required for all PHI access
  • Role-based access control: Patient, clinician, admin, caregiver roles
  • Session management: Automatic timeout, concurrent session limits
  • API authentication: OAuth 2.0 with short-lived tokens
  • Biometric: Fingerprint/face ID for mobile app access

Incident Response

Prepare for the worst:

  1. Detection: Automated monitoring for suspicious activity
  2. Containment: Isolate affected systems immediately
  3. Investigation: Determine scope and root cause
  4. Notification: HIPAA requires notification within 60 days
  5. Recovery: Restore from clean backup
  6. Post-mortem: Document lessons learned and update controls

Certification Paths

CertificationWhat It ValidatesTimeline
SOC 2 Type IISecurity controls6-12 months
HITRUSTHIPAA security framework6-18 months
ISO 27001Information security management6-12 months
ISO 13485Medical device QMS6-12 months