AI Healthcare Compliance Agent
HIPAA, HITECH, and GDPR-health compliance checks on every encrypted payload, before it ever touches your storage layer.
AKRUM's AI Healthcare Compliance Agent is one of five prebuilt guardrails. Turn it on to check healthcare workflows against HIPAA, HITECH, and GDPR-health controls on every agent action, with no rules to write. AI may assist with interpretation and orchestration, but the deterministic policy engine owns every ALLOW, DENY, or CHALLENGE decision.
Overview
What this AI Agent does
Evaluates each healthcare workflow action against HIPAA §164.312, HITECH, NIST SP 800-57, and GDPR Art. 32 controls, and returns an ALLOW, DENY, or CHALLENGE decision. The deterministic policy engine owns the verdict, not an AI model.
Every DENY or CHALLENGE carries the exact rule that triggered it and the remediation required (as an obligation), so teams know precisely what to fix, without ever exposing the underlying records.
Enforced inline through the Guardrails SDK: allow proceeds, deny is blocked, challenge requires step-up, and every decision is signed with post-quantum ML-DSA and written to a tamper-evident log.
How it works
A four-step guardrail flow
Send the action
Your agent or app sends the healthcare action and its encryption/config context to the guardrail. No patient records leave your side.
Evaluate against controls
The deterministic engine checks it against HIPAA §164.312, HITECH, NIST SP 800-57, and GDPR Art. 32. The AI never makes the decision.
Return a decision
It returns ALLOW, DENY, or CHALLENGE, with the exact rule that triggered and the remediation required.
Enforce inline
Allow proceeds, deny is blocked, challenge triggers step-up, and the signed decision is logged, tamper-evident.
Sandbox
Try it live
Adjust the inputs and run the same deterministic compliance engine the API runs.
{ "verdict": "pass", "evaluated_at": "2026-01-15T10:00:00.000Z", "rules": [ { "id": "HIPAA-164.312-a-2-iv", "title": "Encryption and decryption", "criteria": "pass = FIPS-approved AEAD cipher (AES-256-GCM); warn = approved non-AEAD or 128-bit key on PHI; fail = deprecated cipher.", "status": "pass", "remediation": null }, { "id": "HIPAA-164.312-e-1", "title": "Transmission security", "criteria": "pass = TLS 1.3; warn = TLS 1.2; fail = TLS 1.1 or lower, or no transport encryption.", "status": "pass", "remediation": null }, { "id": "NIST-SP-800-57", "title": "Key lifecycle management", "criteria": "pass = rotation interval ≤ 365 days; warn = 366–730 days; fail = > 730 days or no rotation.", "status": "pass", "remediation": null }, { "id": "HIPAA-164.312-b", "title": "Audit controls", "criteria": "pass = access logging enabled; fail = disabled. This is a required (non-addressable) safeguard.", "status": "pass", "remediation": null }, { "id": "HITECH-13402-SAFE-HARBOR", "title": "Breach notification safe harbour", "criteria": "pass = special-category data rendered unusable via approved encryption with audit trail; fail = data not rendered unusable.", "status": "pass", "remediation": null }, { "id": "GDPR-ART-32", "title": "Security of processing (special category data)", "criteria": "pass = encryption in transit ≥ TLS 1.2 plus access logging for PHI/PII; warn = one control missing.", "status": "pass", "remediation": null } ], "summary": "All 6 controls passed for PHI data (HIPAA, HITECH, NIST SP 800-57, GDPR Art. 32)." }
Simulated response: no real inference is performed.
Data sources
Grounded in public regulatory frameworks
- HHS HIPAA Security Rule §164.312: encoded as the engine's control checks
- HITECH Act §13402 breach-notification safe harbour
- GDPR Article 32 (security of processing, special category data)
- NIST SP 800-57 (key lifecycle) and SP 800-66 Rev. 2 (implementing the HIPAA Security Rule)
- Planned: not yet connected: automated evidence collection from your AKRUM audit logs
All sources are public and updated as guidance evolves.
Built for healthcare
HIPAA-grade protection for patient data.
Patient data is the top ransomware target, and health and genomic records stay sensitive for a lifetime, making them a prime target for “harvest now, decrypt later” attacks. The Healthcare Compliance Agent checks encrypted patient-data workloads against HIPAA and HITECH controls in real time, so violations are caught before storage or sharing, without exposing the records themselves.
Data it protects
- EHRs
- CT/MRI/X-ray imaging
- Lab reports
- Genomic data
- Insurance documents
- Telehealth records
Compliance alignment
What regulations does this agent check for?
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It evaluates workloads against HIPAA Security Rule, HITECH, GDPR Articles 9 and 32 for special-category health data, NIST SP 800-66 and 800-111, ONC certification criteria, and CMS Promoting Interoperability requirements, all grounded in public regulatory text.
Does it run compliance checks on encrypted payloads without exposing PHI?
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Yes. The agent inspects encryption metadata, key configuration, access patterns, and storage configuration, never the underlying PHI bytes. Your protected health information stays encrypted at rest and in transit throughout the entire evaluation.
How does it integrate into an existing healthcare data pipeline?
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Call /v1/agents/healthcare-compliance/evaluate from your CI/CD pipeline, runtime guardrails, or audit jobs. It returns structured JSON in milliseconds with a pass, warn, or fail verdict per rule, plus the exact remediation step required.
Is patient data ever decrypted or stored?
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No. The agent only ever sees metadata you choose to send: cipher, key rotation interval, transit protocol, classification, workflow context. Raw PHI is never decrypted by AKRUM and is never persisted by the compliance agent.
Is there a free sandbox to test it?
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Yes. Every page includes an interactive sandbox where you can adjust cipher, rotation, transit, and logging inputs and see a live HIPAA verdict. Free covers exploration, paid tiers unlock production API keys and higher throughput.
Ready to integrate?
Get an API key and start calling AI Healthcare Compliance Agent in minutes.