Why it matters

HIPAA applies to healthcare LLM. Understanding shapes healthcare deployment.

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The architecture

PHI in prompts/outputs.

BAA with LLM vendor.

De-identify where possible.

Audit logging.

HIPAA + LLMBAAvendor agreementDe-identifywhen possibleAudit logPHI accessOpenAI, Anthropic, Google offer BAAs; verify coverage matches use case
HIPAA LLM.
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How it works end to end

BAA covers PHI processing.

De-identify: Safe Harbor or Expert Determination.

Audit logs of PHI access.

User access controls.