Healthcare teams want LLM capabilities without gambling with protected health information. A compliant architecture is entirely achievable — it just has to be designed, not improvised.
The non-negotiables
Business associate agreements with every AI vendor touching PHI; encryption in transit and at rest; role-based access; immutable audit logs of every prompt and response containing patient data.
Design patterns
De-identify before inference where the use case allows. Prefer private endpoints or VPC-isolated model deployments. Keep a PHI-safe prompt gateway that scans and blocks accidental identifiers, and retain logs in your environment, not the vendor’s.
Proving it
Compliance is demonstrated with documentation: data-flow diagrams, risk analyses, and access reviews. Datastrel designs and implements HIPAA-aligned AI platforms on AWS, including the paperwork your compliance officer actually needs.