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HIPAA Hardening for a Healthcare Data Platform

A healthcare data company had a working patient-facing analytics portal on AWS. The next phase had one requirement: take it from staging to a HIPAA-hardened production posture.

HIPAA Hardening for a Healthcare Data Platform
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HIPAA-hardened productionPrivate ECS Fargate + Aurora

The Challenge

A healthcare data company ran a working patient-facing analytics portal on ECS Fargate, built with Node.js and Prisma on PostgreSQL. It worked, but working software and audit-ready software are two different problems.

The next phase had a single requirement: move the platform to a production posture with the technical safeguards needed for HIPAA workloads.

What We Built

Private, Encrypted Networking

We moved the ECS Fargate services into private subnets and put TLS end to end using ACM, so protected health information stays encrypted in transit and off the public internet.

Managed Database Migration

We migrated the database to Aurora PostgreSQL with proper HTTPS and certificate setup, for durability and managed failover.

Fixed the Network Architecture

We found and resolved a regional NAT gateway architecture issue that was breaking connectivity, then hardened the surrounding setup.

Milestone-Based Production Buildout

We delivered the production infrastructure as a milestone-based engagement across three milestones, so the move from staging to production stayed controlled.

The Result

  • The platform moved from a staging setup to a HIPAA-hardened production posture on AWS.
  • Protected health information is encrypted in transit and at rest, running on private networking with managed, replicated data.

Technology

AWS ECS FargateAurora PostgreSQLPrismaNode.jsAWS ACMVPC / NATAWS Secrets Manager
Related:HIPAA ComplianceCloud Infrastructure (AWS)Review my HIPAA workload

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