Resource 12 · Healthcare checklist

HIPAA-aligned engineering checklist

A practical engineering checklist for PHI boundaries, access, audit trails, logging, integrations, recovery, and operational ownership.

Practical guidePracticalYours to use

The working guide

Follow the evidence across the whole system.

This is an engineering readiness aid, not legal certification. It makes technical controls and evidence visible so the right compliance specialist can evaluate them.

01

PHI inventory and boundaries

Know where sensitive data exists.

  • PHI fields, stores, queues, logs, and exports are inventoried
  • Data minimization and retention are explicit
  • Non-production data is de-identified or synthetic
02

Access control

Enforce least privilege.

  • Workforce and patient identities are separated where needed
  • Every PHI access path is authorized server-side
  • Emergency and administrative access is reviewed
03

Auditability and logging

Record access without copying PHI.

  • Access and high-risk changes create durable audit events
  • Application logs exclude PHI by default
  • Alerts identify unusual access without exposing records
04

Encryption and integrations

Protect every handoff.

  • Encryption is defined in transit and at rest
  • Vendors and integration scopes are inventoried
  • Tokens, webhooks, and file transfers have rotation and retry plans
05

Recovery and operations

Prove the product can be operated safely.

  • Backups and restore procedures are tested
  • Incident roles and notification paths are documented
  • Production access is time-bound and reviewable

Evidence to keep

Leave a record another person can verify.

  1. 01PHI data-flow diagram
  2. 02Access-control and audit-log samples
  3. 03Vendor and integration inventory
  4. 04Backup, restore, and incident test results

Choose the next useful step

Use the guide to define the first accountable decision.

We can review the evidence with your team and turn the gaps into a scoped plan without taking ownership away from you.

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