At AWS we have had a number of HIPAA eligible service announcements. Patrick Combes, the Healthcare and Life Sciences Global Technical Leader at AWS, and Aaron Friedman, a Healthcare and Life Sciences Partner Solutions Architect at AWS, have written this post to tell you all about it.
We are pleased to announce that the following AWS services have been added to the BAA in recent weeks: Amazon API Gateway, AWS Direct Connect, AWS Database Migration Service, and Amazon SQS. All four of these services facilitate moving data into and through AWS, and we are excited to see how customers will be using these services to advance their solutions in healthcare. While we know the use cases for each of these services are vast, we wanted to highlight some ways that customers might use these services with Protected Health Information (PHI).
As with all HIPAA-eligible services covered under the AWS Business Associate Addendum (BAA), PHI must be encrypted while at-rest or in-transit. We encourage you to reference our HIPAA whitepaper, which details how you might configure each of AWS’ HIPAA-eligible services to store, process, and transmit PHI. And of course, for any portion of your application that does not touch PHI, you can use any of our 90+ services to deliver the best possible experience to your users. You can find some ideas on architecting for HIPAA on our website.
Amazon API Gateway
Amazon API Gateway is a web service that makes it easy for developers to create, publish, monitor, and secure APIs at any scale. With PHI now able to securely transit API Gateway, applications such as patient/provider directories, patient dashboards, medical device reports/telemetry, HL7 message processing and more can securely accept and deliver information to any number and type of applications running within AWS or client presentation layers.
One particular area we are excited to see how our customers leverage Amazon API Gateway is with the exchange of healthcare information. The Fast Healthcare Interoperability Resources (FHIR) specification will likely become the next-generation standard for how health information is shared between entities. With strong support for RESTful architectures, FHIR can be easily codified within an API on Amazon API Gateway. For more information on FHIR, our AWS Healthcare Competency partner, Datica, has an excellent primer.
AWS Direct Connect
Some of our healthcare and life sciences customers, such as Johnson & Johnson, leverage hybrid architectures and need to connect their on-premises infrastructure to the AWS Cloud. Using AWS Direct Connect, you can establish private connectivity between AWS and your datacenter, office, or colocation environment, which in many cases can reduce your network costs, increase bandwidth throughput, and provide a more consistent network experience than Internet-based connections.
In addition to a hybrid-architecture strategy, AWS Direct Connect can assist with the secure migration of data to AWS, which is the first step to using the wide array of our HIPAA-eligible services to store and process PHI, such as Amazon S3 and Amazon EMR. Additionally, you can connect to third-party/externally-hosted applications or partner-provided solutions as well as securely and reliably connect end users to those same healthcare applications, such as a cloud-based Electronic Medical Record system.
AWS Database Migration Service (DMS)
To date, customers have migrated over 20,000 databases to AWS through the AWS Database Migration Service. Customers often use DMS as part of their cloud migration strategy, and now it can be used to securely and easily migrate your core databases containing PHI to the AWS Cloud. As your source database remains fully operational during the migration with DMS, you minimize downtime for these business-critical applications as you migrate your databases to AWS. This service can now be utilized to securely transfer such items as patient directories, payment/transaction record databases, revenue management databases and more into AWS.
Amazon Simple Queue Service (SQS)
Amazon Simple Queue Service (SQS) is a message queueing service for reliably communicating among distributed software components and microservices at any scale. One way that we envision customers using SQS with PHI is to buffer requests between application components that pass HL7 or FHIR messages to other parts of their application. You can leverage features like SQS FIFO to ensure your messages containing PHI are passed in the order they are received and delivered in the order they are received, and available until a consumer processes and deletes it. This is important for applications with patient record updates or processing payment information in a hospital.
Let’s get building!
We are beyond excited to see how our customers will use our newly HIPAA-eligible services as part of their healthcare applications. What are you most excited for? Leave a comment below.