• Building a healthcare app and unsure which HIPAA technical safeguards you need to implement in the software?

  • Inherited a healthcare platform that wasn't built with HIPAA in mind and now needs a compliance retrofit?

HIPAA Compliant Software Development

Healthcare software that handles Protected Health Information needs HIPAA technical safeguards built in from the start -- not added after the product is built.

We design encryption, access control, audit logging, and PHI handling into the architecture during discovery. HIPAA compliance is a design constraint, not a post-build audit.

  • HIPAA technical safeguards by design -- encryption, access control, audit logging, PHI handling

  • BAA-covered cloud infrastructure with HIPAA Eligible Services on AWS and GCP

  • Secure data architecture for PHI at rest, in transit, and during processing

  • Compliance documentation support for your security risk assessment

RaftLabs builds HIPAA compliant software for healthcare providers, digital health startups, and companies handling Protected Health Information. We design HIPAA technical safeguards into the architecture from day one -- AES-256 encryption at rest and in transit, role-based access control, comprehensive audit logging (who accessed PHI, when, from where), secure PHI deletion workflows, BAA-covered cloud infrastructure (AWS HIPAA Eligible Services, Google Cloud Healthcare API), and minimum necessary data handling. HIPAA compliance is an architectural requirement in every healthcare software project we build, not a checkbox added after development.

Vodafone
Aldi
Nike
Microsoft
Heineken
Cisco
Calorgas
Energia Rewards
GE
Bank of America
T-Mobile
Valero
Techstars
East Ventures
HIPAATechnical safeguards by design
AES-256Encryption at rest and in transit
BAACovered infrastructure
FixedCost delivery

HIPAA compliance is an architecture decision, not a feature addition

The most expensive way to build HIPAA compliant software is to build it first and add compliance later. Retrofitting encryption, audit logging, access control, and PHI data flows onto an existing system is significantly more costly than designing for them from the start.

We treat HIPAA technical safeguards as non-negotiable architectural constraints in every healthcare software project we take on.

What HIPAA compliant development covers

Encryption and data security

AES-256 encryption at rest for all PHI stored in databases, file storage, and backups. TLS 1.2+ for all data in transit -- no plaintext PHI transmission over any channel. Encrypted database connections, encrypted backup storage, and encryption key management using AWS KMS or GCP Cloud KMS. Application-level encryption for particularly sensitive data categories (psychiatric records, substance use treatment data, genetic information). Encryption that meets HIPAA Security Rule technical safeguard requirements for PHI storage and transmission.

Access control and authentication

Role-based access control (RBAC) with minimum necessary access principle -- users access only the PHI their role requires to perform their function. Unique user identification for all system users (no shared accounts). Multi-factor authentication for clinical and administrative users accessing PHI. Session timeout and automatic logout for unattended sessions. Emergency access procedures for critical situations with audit trail. Access control lists maintained and reviewed -- not just set during onboarding and forgotten.

Audit logging and monitoring

Comprehensive audit logs capturing every PHI access event: user ID, timestamp, data accessed, action taken (view, create, modify, delete), and source IP address. Immutable audit logs that cannot be altered or deleted by application users. Log retention for minimum 6 years per HIPAA requirements. Automated alerts for anomalous access patterns (bulk downloads, after-hours access, access from unusual locations). Audit log export for security incident investigation and compliance review.

BAA-covered infrastructure

HIPAA requires Business Associate Agreements with all vendors who handle PHI on your behalf. We build on HIPAA Eligible Services: AWS (EC2, RDS, S3, Lambda, CloudWatch with BAA), Google Cloud Healthcare API and HIPAA-covered GCP services. Database services (RDS PostgreSQL, Aurora), file storage (S3 with server-side encryption), and container services (ECS, EKS) all covered under AWS BAA. Third-party integrations (EHR APIs, telehealth video providers, analytics) evaluated for BAA availability before inclusion in the architecture.

PHI data handling and minimisation

Minimum necessary standard applied to data collection -- we don't store PHI the application doesn't need. PHI de-identification where downstream use cases allow (analytics, reporting, ML training). Secure PHI deletion workflows for data retention compliance -- PHI deleted from all storage locations, not just the primary database. Data residency configuration for PHI that must stay within specific jurisdictions. PHI inventory mapping -- knowing what PHI you store, where, and why is the foundation of defensible compliance.

Compliance documentation support

HIPAA compliance requires both technical and administrative safeguards. We provide: technical architecture documentation for your security risk assessment (mapping technical controls to HIPAA Security Rule requirements), data flow diagrams showing PHI movement through the system, access control specifications for your policies and procedures, and security incident response documentation for your breach notification procedures. We don't write your compliance policies -- that's your legal and compliance team's role -- but we give them the technical documentation they need.

Frequently asked questions

The HIPAA Security Rule Technical Safeguards (45 CFR §164.312) cover five areas: access control (unique user IDs, emergency access, automatic logoff, encryption and decryption), audit controls (activity tracking in systems that contain PHI), integrity controls (protecting PHI from improper alteration or destruction), authentication (verifying users are who they claim to be), and transmission security (protecting PHI transmitted over networks). In practice, this translates to: encryption at rest and in transit, role-based access control with unique user accounts, comprehensive audit logging, multi-factor authentication, and TLS for all network transmission. We implement all of these as baseline requirements in every healthcare software project.

There is no such thing as HIPAA certification -- no government body or accreditation organisation certifies software or companies as HIPAA compliant. HIPAA compliance is a legal obligation assessed through your own security risk analysis and the technical, administrative, and physical safeguards you implement. Software vendors (including us) can build software that implements the technical safeguards the HIPAA Security Rule requires -- but that doesn't make the software "HIPAA certified." Your organisation's compliance posture depends on your policies, training, physical safeguards, and breach response procedures, in addition to the technical controls in your software.

That depends on whether RaftLabs handles PHI in the course of building your software. If we access actual patient data (PHI) during development, testing, or deployment, then yes -- a BAA is required. In most development projects, we work with de-identified test data rather than actual PHI, which means a BAA may not be required. If your project requires us to access production PHI (for data migration, integration testing with live data, or ongoing support), we execute a BAA. We discuss BAA requirements during the engagement setup phase.

HIPAA technical safeguards add approximately 15--25% to the base development cost of a comparable non-healthcare application. The additions include: HIPAA Eligible cloud services (modest cost premium over non-HIPAA services), additional development time for encryption implementation, access control architecture, and audit logging, and security testing specific to PHI handling. The cost of not building HIPAA compliance in from the start -- retrofitting it onto an existing system -- is typically 2--3x the cost of building it correctly the first time. See our healthcare app development cost guide for full cost ranges.

Talk to us about your HIPAA compliant development project.

Tell us the application type, the PHI you handle, and your current compliance posture. We'll design the technical safeguards into the architecture from the start.