Seven Architecture Decisions Developers Must Make When Building a HIPAA Telehealth MVP

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Building a HIPAA-compliant telehealth MVP requires far more than selecting vendors — developers must carefully map every point where protected health information is created, transmitted, cached, or exported across systems. Role-based access control is critical, as patients, clinicians, schedulers, and administrators each require distinct permissions tied to specific actions on specific records. External services like video providers and secure messaging platforms must receive only the minimum necessary patient data, with clear decisions made upfront about recordings, retention, and what gets written back to the core application. Scheduling presents a particular challenge, as multiple systems — including the patient app, EHR, video vendor, and reminder tools — must stay synchronized without each becoming an independent source of truth. The article frames these as technical planning considerations and explicitly notes that final HIPAA compliance decisions should involve privacy, security, and legal stakeholders.

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