HIPAA
HIPAA is the Health Insurance Portability and Accountability Act. It applies to health providers in the United States and to the companies that handle health data on their behalf. It is built from two main parts. The Privacy Rule says who may see health information and what a patient may ask for. The Security Rule says how electronic health information must be protected.
- Minimum necessary. Staff may only see the information they need for the job in front of them. In the platform this is enforced by care relationships: a therapist reaches the clients on their own caseload, not the whole clinic.
- The designated record set. A patient can ask for a copy of their record, but not for everything the clinic holds. Each document type is marked as inside or outside that set, and a request cannot return what is outside it.
- Psychotherapy notes are separate. HIPAA treats a therapist's own process notes differently from the record. In the platform they are encrypted under a different key, so the key that opens the ordinary record does not open them.
- Accounting of disclosures. A patient may ask who their information was shared with over the last six years. The disclosure register answers that from stored records.
- Breach notification. If protected health information is exposed, people must be told — unless the data was properly encrypted. That exemption is called the safe harbour, and it is the reason the encryption is built the way it is.
- 42 CFR Part 2 is a separate US rule for substance-use treatment records. It is stricter than HIPAA and requires a redisclosure warning on anything shared. The platform generates that notice rather than asking staff to type it.