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Security and governance

Built for the institutions that answer to regulators

Patient data is designed to be held under national law, not a vendor's terms. The governance model is designed to be inspected — by a hospital board, a data protection authority, or a ministry procurement review.

Data residency

Designed to be deployed in-country where regulation or policy requires it. The sovereign deployment model is designed so patient data never has to leave the jurisdiction that governs it.

Encryption in transit and at rest

Designed for TLS on every connection and encryption at rest for the record store and backups, with key management separated from application access.

Least-privilege access

Role-based access scoped to facility and function, with break-glass access recorded and reviewable rather than silently permitted.

Immutable audit trail

Every read and write against a patient record is logged with actor, purpose and consent basis. The trail is queryable and cannot be edited after the fact.

Consent as a first-class object

Cross-facility access will be governed by recorded patient consent, with scope and expiry, not by whoever holds a login.

Exportable, never captive

A customer will be able to export their full record set in open formats at any time. Lock-in is not a retention strategy for national infrastructure.

Audit trail

HOS-DEMO-0142

Illustrative: Fictional data. Not a live system.
  • Time
    10:03:52
    Actor
    Pharmacist · Illustrative pharmacy
    Action
    Read prescriptionHOS-DEMO-0142
    Purpose
    Dispensing
    Consent basis
    Patient consent, cross-facility
  • Time
    10:03:31
    Actor
    Emergency physician · Illustrative district hospital
    Action
    Read full recordHOS-DEMO-0142
    Purpose
    Emergency care
    Consent basis
    None on record

    Break-glass. Flagged for review

  • Time
    10:02:58
    Actor
    Clinician · Illustrative clinic
    Action
    Read medication historyHOS-DEMO-0142
    Purpose
    Direct care
    Consent basis
    Patient consent, cross-facility
  • Time
    10:02:42
    Actor
    Lab technician · Illustrative district hospital
    Action
    Wrote lab resultHOS-DEMO-0142
    Purpose
    Direct care
    Consent basis
    Treating facility
  • Time
    10:02:14
    Actor
    Nurse · Illustrative district hospital
    Action
    Read vital signsHOS-DEMO-0142
    Purpose
    Direct care
    Consent basis
    Treating facility

Engineered to the standards national systems require

  • HL7 FHIR R4

    Clinical data exchange

  • ICD-11 · SNOMED CT

    Coded diagnoses and terminology

  • OpenHIE architecture

    National exchange patterns

  • ISO 27001 controls

    Information security baseline

  • Data residency

    Set by national law

Standards HealthOS is built to. Formal certification follows first production deployment.