HIPAA-Compliant Patient Management Platform

Build a HIPAA-compliant patient management platform with appointment scheduling, electronic health records, provider dashboards, billing integration, and telehealth video consultations for healthcare organizations.

Epics

Features

BDD Scenarios

124

Tasks

198

APIs

System Architecture

pattern

HIPAA-compliant microservices with encrypted data layer

database

PostgreSQL with row-level encryption (AES-256) for PHI fields

cache

Redis with encrypted at-rest configuration (no PHI in cache by default)

auth

OAuth2 + MFA required for all clinical users, session timeout at 15 minutes of inactivity

hipaa Controls

Audit logging on every PHI access, encrypted backups, BAA-compliant cloud hosting

telehealth

WebRTC-based video with TURN server for NAT traversal, encrypted peer-to-peer streams

integration

HL7 FHIR R4 API for EHR interoperability, ICD-10 code lookup, insurance eligibility verification

deployment

AWS GovCloud or HIPAA-eligible regions with encrypted EBS volumes and VPC isolation

Delivery Blueprint — 7 Epics

HIPAA-compliant authentication with MFA enforcement, role-based access (provider, nurse, admin, patient), and automatic session management.

Multi-Factor Authentication

MFA required for all clinical staff accessing PHI. Supports TOTP authenticator apps and SMS backup.

Provider login with MFApositive

Given Dr. Smith enters valid email and password
When the system verifies credentials
Then a 6-digit TOTP code is required
And upon entering the correct code, Dr. Smith is granted access
And the login event is recorded in the HIPAA audit log with timestamp, IP address, and user agent

+1 more scenario

●Implement TOTP-based MFA using otplib with QR code enrollment flow

●Build SMS fallback MFA with rate limiting (max 3 SMS per hour per user)

+3 more tasks

Clinical Role-Based Access

Granular permissions ensuring providers see only their patients, nurses see assigned ward patients, admins manage configuration, and patients see only their own records.

2 scenarios, 4 tasks — unlock to view

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Governance Rules (7)

All PHI access must be logged in the HIPAA audit trail with user, action, timestamp, and IP address

PHI fields (SSN, diagnosis, clinical notes) must be encrypted at rest using AES-256-GCM

+5 more governance rules — sign up to view

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