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Compliance & Standards

Gradiant maintains strict compliance with healthcare industry standards, with a primary focus on HIPAA compliance and data protection regulations.

Compliance Framework

HIPAA Compliance

Core Requirements

Strict adherence to healthcare data protection standards
  • Privacy Rule compliance
  • Security Rule implementation
  • Breach notification procedures
  • Patient rights management
  • Business Associate Agreements

Automated Compliance Tools

Gradiant implements comprehensive automated tools for HIPAA compliance verification:
  • HIPAA Security Check Script: Automated codebase scanning for security vulnerabilities
    • Located at scripts/hipaa-security-check.js
    • Checks for deprecated crypto methods, proper encryption, authentication tags, route authentication, and PHI audit logging
    • Integrated into CI/CD pipeline for continuous compliance verification
  • Security Scanning Workflow: GitHub Actions workflow for comprehensive security scanning
    • Located at .github/workflows/security-scanning.yml
    • Runs on all pull requests and schedules
    • Generates detailed compliance reports
  • DLP System: Data Loss Prevention system to protect PHI
    • Automated PHI detection and redaction
    • Policy-based controls for data transmission
    • Comprehensive audit logging
  • BAA Management System: Business Associate Agreement tracking
    • Template-based BAA generation
    • Vendor compliance verification
    • Expiration tracking and renewal management

Implementation 1

import { HIPAALogger } from '@gradiant/compliance';

const logger = new HIPAALogger({
retentionPeriod: '6y',
encryptionEnabled: true,
backupEnabled: true
});

// Log access event
await logger.logAccess({
userId: 'user_123',
resourceType: 'patient_record',
actionType: 'view',
timestamp: new Date(),
reason: 'treatment'
});

````typescrpt

```typescript Data Access
const accessControl = new HIPAAAccessControl({
  minimumNecessary: true,
  roleBasedAccess: true,
  auditEnabled: true
});

// Check access permission
const canAccess = await accessControl.checkAccess({
  userId: 'user_123',
  resourceId: 'record_456',
  action: 'view'
});

FHE Integration for HIPAA Compliance

Fully Homomorphic Encryption enhances HIPAA compliance by enabling secure computation on encrypted data
import { FHEService } from '@gradiant/fhe';

// Initialize FHE service
const fheService = new FHEService({
  scheme: 'BFV',
  securityLevel: 128,
  polyModulusDegree: 4096,
});

// Process PHI while it remains encrypted
async function processEncryptedPatientData(encryptedData) {
  // Perform operations on encrypted data without decryption
  const result = await fheService.processEncrypted(encryptedData);
  
  // Data remains protected throughout processing
  return result;
}

Compliance Verification Process

1
Automated Scanning
2
Run automated compliance checks (daily in CI/CD)
3
Manual Review
4
Quarterly review of all PHI handling systems
5
Documentation
6
Update compliance documentation
7
Training
8
Staff training and certification
9
Third-Party Audit
10
Annual external compliance audit

Security Standards

Certifications

Comprehensive security certifications and compliance
StandardStatusLast AuditNext Audit
SOC 2 Type IICertified2024-012024-07
ISO 27001Certified2023-122024-12
HITRUSTCertified2024-022025-02
NIST CSFCompliant2024-012024-07

Framework Implementation

  • Role-based access control (RBAC) - Attribute-based access control (ABAC) - Principle of least privilege - Regular access reviews
  • Encryption at rest - Encryption in transit - Data classification - Data retention policies
  • Real-time security monitoring - Intrusion detection - Audit logging - Anomaly detection

Data Protection

Privacy Regulations

Compliance with global privacy standards
  • HIPAA (United States)
  • GDPR (European Union)
  • CCPA (California)
  • PIPEDA (Canada)

Implementation 2

const privacyManager = new PrivacyManager({
  regulations: ['HIPAA', 'GDPR', 'CCPA'],
  dataRetention: {
    medical: '6y',
    audit: '6y',
    backups: '7y',
  },
  dataSubjectRights: {
    access: true,
    deletion: true,
    portability: true,
  },
})

// Handle data subject request
const response = await privacyManager.handleRequest({
  type: 'access',
  subjectId: 'user_123',
  scope: ['medical_records', 'audit_logs'],
})

Risk Management

Security Controls

Implementation 3

const riskManager = new RiskManager({
  assessmentFrequency: 'quarterly',
  automatedScanning: true,
  vulnerabilityManagement: true
});

// Perform risk assessment
const assessment = await riskManager.performAssessment({
scope: ['infrastructure', 'applications', 'data'],
depth: 'comprehensive'
});

````typescript

```typescript Control Monitoring
const controlMonitor = new SecurityControlMonitor({
  realTimeMonitoring: true,
  alertingEnabled: true,
  reportingFrequency: 'daily'
});

// Monitor control effectiveness
const status = await controlMonitor.checkControls({
  controlSet: 'encryption',
  metrics: ['effectiveness', 'coverage']
});

Audit Management

Audit Process

Comprehensive audit trail for compliance verification
  1. Event Collection
  2. Secure Storage
  3. Analysis
  4. Reporting
  5. Retention

Implementation 4

const auditManager = new AuditManager({
  storageProvider: 'encrypted_s3',
  retentionPeriod: '6y',
  realTimeAnalysis: true,
})

// Record audit event
await auditManager.recordEvent({
  eventType: 'data_access',
  userId: 'user_123',
  resourceId: 'record_456',
  action: 'view',
  timestamp: new Date(),
  metadata: {
    ip: '192.168.1.1',
    userAgent: 'Mozilla/5.0...',
    reason: 'treatment',
  },
})

// Generate compliance report
const report = await auditManager.generateReport({
  period: 'last_quarter',
  type: 'hipaa_compliance',
  format: 'pdf',
})

Incident Response

Response Protocol

Structured approach to security incidents
1
Detection Identify and classify the incident ### Containment Limit the
2
impact and spread ### Eradication Remove the threat ### Recovery Restore normal operations ### Lessons Learned Document and improve

Implementation 5

const incidentManager = new IncidentManager({
  notificationChannels: ['email', 'slack', 'sms'],
  automatedResponse: true,
  forensicsEnabled: true,
})

// Handle security incident
await incidentManager.handleIncident({
  type: 'unauthorized_access',
  severity: 'high',
  affectedSystems: ['auth_service'],
  timestamp: new Date(),
})

Best Practices

Regular Audits

Conduct periodic assessments

Documentation

Maintain compliance records

Training

Staff security awareness

Updates

Keep policies current

Support

Need help with compliance? Contact our compliance team: