A comprehensive implementation guide for HIPAA Technical Safeguards on AWS, covering all five safeguard categories: Access Control (§164.312(a)(1)), Audit Controls (§164.312(b)), Integrity Controls (§164.312(c)(1)), Transmission Security (§164.312(e)(1)), and Facility Access (§164.310(a)(1)). Includes production-ready Terraform and Python code for unique user identification with UUID-based accounts, automatic session logoff using short-lived JWTs, envelope encryption with AWS KMS for field-level ePHI protection, immutable audit logs using S3 Object Lock in COMPLIANCE mode with hash chaining, TLS 1.2/1.3 enforcement via ALB and nginx, and a three-tier VPC architecture. Also covers BAA-eligible AWS services, a daily compliance scanner Lambda, and a pre-audit evidence collection script that maps outputs to specific regulation clauses.
