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RojiosRojios/everything-claude-code/skills/hipaa-compliance/SKILL.md

hipaa-compliance

Skill1 starsChanged 7 months agoMITView on GitHub

HIPAA-specific entrypoint for healthcare privacy and security work. Use when a task is explicitly framed around HIPAA, PHI handling, covered entities, BAAs, breach posture, or US healthcare compliance requirements.

14 other projects use a version of this, 5 of them edited.

Adopted by

Most recently taken up by

The file

We split this skill into the rules it gives an agent

10 rules. 0 are common, 8 are distinctive, and 2 are very specific to this project.

  • 0

    Common

    Most of the 11 edited versions we read keep these.

  • 8

    Distinctive

    This author's own choices. Worth a look.

  • 2

    Very specific

    Tied to their project's names, files or tools. Probably skip.

  • Common
  • Distinctive
  • Very specific
  1. Distinctive:

    Use this as the HIPAA-specific entrypoint when a task is clearly about US healthcare compliance.

    line 10
  2. Distinctive:

    Treat HIPAA as an overlay on top of the broader healthcare privacy skill:

    line 25
  3. Very specific:

    Start with healthcare-phi-compliance for the concrete implementation rules.

    line 27
  4. Distinctive:

    Never place PHI in logs, analytics events, crash reports, prompts, or client-visible error strings.

    line 38
  5. Distinctive:

    Never expose PHI in URLs, browser storage, screenshots, or copied example payloads.

    line 39
  6. Distinctive:

    Treat third-party SaaS, observability, support tooling, and LLM providers as blocked-by-default until BAA status and data boundaries are …

    line 41
  7. Distinctive:

    Follow minimum necessary access: the right user should only see the smallest PHI slice needed for the task.

    line 42
  8. Distinctive:

    Prefer opaque internal IDs over names, MRNs, phone numbers, addresses, or other identifiers.

    line 43
  9. Very specific:

    Use healthcare-phi-compliance to review PHI movement, logging, storage, and prompt boundaries

    line 56
  10. Distinctive:

    Verify whether the summarization provider is covered by a BAA before any PHI is sent

    line 57

“Common” is measured: kept by at least 6 in 10 of the 11 edited versions of this file we could read. “Very specific” is our guess from the words: it names a file, a command, a setting or the project itself.

Keep what fits and drop the rest. Your version, ready for your agents.
Files
SKILL.md

HIPAA Compliance

Use this as the HIPAA-specific entrypoint when a task is clearly about US healthcare compliance. This skill intentionally stays thin and canonical:

  • healthcare-phi-compliance remains the primary implementation skill for PHI/PII handling, data classification, audit logging, encryption, and leak prevention.
  • healthcare-reviewer remains the specialized reviewer when code, architecture, or product behavior needs a healthcare-aware second pass.
  • security-review still applies for general auth, input-handling, secrets, API, and deployment hardening.

When to Use

  • The request explicitly mentions HIPAA, PHI, covered entities, business associates, or BAAs
  • Building or reviewing US healthcare software that stores, processes, exports, or transmits PHI
  • Assessing whether logging, analytics, LLM prompts, storage, or support workflows create HIPAA exposure
  • Designing patient-facing or clinician-facing systems where minimum necessary access and auditability matter

How It Works

Treat HIPAA as an overlay on top of the broader healthcare privacy skill:

  1. Start with healthcare-phi-compliance for the concrete implementation rules.
  2. Apply HIPAA-specific decision gates:
    • Is this data PHI?
    • Is this actor a covered entity or business associate?
    • Does a vendor or model provider require a BAA before touching the data?
    • Is access limited to the minimum necessary scope?
    • Are read/write/export events auditable?
  3. Escalate to healthcare-reviewer if the task affects patient safety, clinical workflows, or regulated production architecture.

HIPAA-Specific Guardrails

  • Never place PHI in logs, analytics events, crash reports, prompts, or client-visible error strings.
  • Never expose PHI in URLs, browser storage, screenshots, or copied example payloads.
  • Require authenticated access, scoped authorization, and audit trails for PHI reads and writes.
  • Treat third-party SaaS, observability, support tooling, and LLM providers as blocked-by-default until BAA status and data boundaries are clear.
  • Follow minimum necessary access: the right user should only see the smallest PHI slice needed for the task.
  • Prefer opaque internal IDs over names, MRNs, phone numbers, addresses, or other identifiers.

Examples

Example 1: Product request framed as HIPAA

User request:

Add AI-generated visit summaries to our clinician dashboard. We serve US clinics and need to stay HIPAA compliant.

Response pattern:

  • Activate hipaa-compliance
  • Use healthcare-phi-compliance to review PHI movement, logging, storage, and prompt boundaries
  • Verify whether the summarization provider is covered by a BAA before any PHI is sent
  • Escalate to healthcare-reviewer if the summaries influence clinical decisions

Example 2: Vendor/tooling decision

User request:

Can we send support transcripts and patient messages into our analytics stack?

Response pattern:

  • Assume those messages may contain PHI
  • Block the design unless the analytics vendor is approved for HIPAA-bound workloads and the data path is minimized
  • Require redaction or a non-PHI event model when possible

Related Skills

  • healthcare-phi-compliance
  • healthcare-reviewer
  • healthcare-emr-patterns
  • healthcare-eval-harness
  • security-review

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