HEALTHCARE SYSTEMS CONNECTORS
Security, Governance & Audit
8 of 9Ensure the security, privacy and governance of data exchanged between Mediloop, HIS/EHR and external healthcare systems with authentication, authorization, consent, audit, monitoring and regulatory controls.
Authentication & AuthorizationConsent ManagementData ProtectionAudit & ProvenanceRegulatory ComplianceTenant IsolationMonitoring & Alerts
Security & Governance Architecture
1
External Systems
HIS/EHR, departmental systems, national platforms and partners
2
Secure Integration Layer
Authentication, authorization, token validation, message security
3
Mediloop Platform
Tenant isolation, RBAC/scopes, consent enforcement
4
Data & Services
Encryption, minimization, retention and immutable audit
5
Authorized Users
Professionals, patients, partners and permitted authorities
Authentication & Authorization
OAuth 2.0 / OpenID Connect for application and user flows
Mutual TLS for trusted system-to-system integrations
Short-lived JWT access tokens and scoped service accounts
Role-based and scope-based permissions
Tenant and professional-membership context enforcement
Network controls such as VPN/IP allowlisting where appropriate
National identity-provider integration when required
Consent & Access Control
Distinguish consent from other lawful bases for processing
Evaluate purpose of use and patient-access preferences where applicable
Support break-glass through controlled, auditable emergency access
Enforce least privilege and data minimization
Record policy decision, actor, tenant and purpose
Propagate access constraints to downstream connectors and documents
Data Protection & Tenant Isolation
Data protection
Encryption in transit and at rest
Secret and certificate lifecycle management
Pseudonymization where appropriate
Retention/deletion policies
Secure backups and recovery
Tenant isolation
Explicit tenant context per request/session
No cross-tenant identifier assumptions
Separate authorization from identity matching
Auditable service-to-service access
Scoped data exports and support operations
Audit & Provenance
| Record | Examples |
|---|---|
| Actor | User, service account, organization, professional membership |
| Action | Read, create, update, share, export, command |
| Target | Patient, Encounter, document, result, medication, task |
| Context | Tenant, purpose of use, consent/legal basis, source system |
| Lineage | Original payload, transformations, terminology mapping, version |
| Outcome | Success, denial, validation error, retry, override |
Regulatory Alignment
GDPR privacy principles and data-subject rights
HDS requirements for French health-data hosting where applicable
EHDS / EEHRxF requirements tracked as evolving obligations
Country-specific national exchange and identity requirements
Clinical safety and regulated-device boundaries where a connector controls clinical equipment
Compliance is a deployment and operating model, not a property of software alone. Country-specific certification/onboarding must remain explicit.
Developer Integration Surface
How to read this section
FHIR resources and HL7/IHE operations are standards-based integration surfaces. Mediloop REST routes shown here are documentation contracts and must remain marked planned until the corresponding backend route is implemented and production-approved.
| Surface | Operation / resource | Use | Status |
|---|---|---|---|
| OAuth / OIDC | Authorization code / client credentials / token validation as applicable | Authenticate users/apps and obtain scoped access | Security protocol |
| mTLS / PKI | Client certificates and trusted system identities | Protect machine-to-machine connector channels | Security protocol |
| FHIR | AuditEvent / Provenance where adopted + security labels | Represent provenance/audit context in standards-based workflows | FHIR surface |
| Audit / policy APIs | Audit search, access-policy evaluation and operational monitoring | Mediloop governance façade | Planned contract |
Monitoring & Alerts
Authentication failures and suspicious token activity
Cross-tenant/authorization denials
Certificate expiry and trust failures
Unusual export / bulk-access patterns
Connector error/retry spikes
Policy overrides / break-glass activity
Audit pipeline health and storage integrity
Best Practices
Threat-model each integration path before production
Rotate secrets/certificates and test revocation
Keep authentication separate from authorization and consent
Log enough for traceability without leaking sensitive data
Continuously review scopes and service accounts
Test incident response, rollback and support access