Patient Data Security

The HIPAA-grade EMR checklist for 2025

A practical, no-nonsense checklist for evaluating EMR security at any size of practice.

By Sneha Kapoor·February 22, 2025· 8 min read

Security claims are easy. Verifiable security is rare. Use this checklist to evaluate any EMR vendor.

1. End-to-end encryption at rest (AES-256) and in transit (TLS 1.3+).

2. Granular role-based access with least-privilege defaults.

3. Full immutable audit logs covering reads, writes, and exports.

4. Independent SOC 2 Type II and ISO 27001 certifications, refreshed annually.

5. Data residency options and clearly documented sub-processors.

6. SSO with SAML/OIDC, mandatory MFA for clinicians, and session timeouts.

7. Tested incident response with public RTO/RPO commitments.

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