Security & compliance

HIPAA, NIST, SOC 2, and HITRUST for laboratory systems

How Salus's security model aligns with the frameworks public health programs are actually held to, and what it does and does not claim.

JIL Sovereign Technologies, Inc.6 min read All articles

Security as a foundation, not an add-on

Salus handles protected health information, so access is least-privilege, every action is audited, sensitive fields are encrypted, and every result carries a chain of custody that can be independently verified. None of that is optional configuration bolted on after launch.

What Salus does and does not claim

Salus is designed to align with HIPAA, NIST, CLIA, CAP, and ISO 15189, the frameworks public health programs are actually evaluated against. Alignment is not certification. SOC 2 Type 1 is targeted for December 2026. SOC 2 Type 2 is targeted for January 2027. HIPAA is targeted for January 2027. HITRUST r1 has started, and completion is targeted for March 2027. The examinations are in progress under JIL Sovereign Technologies, Inc. (Delaware) with Johanson Group LLP. The reports are not issued. Laboratory data runs in Snowflake Snowpark Container Services. AI-assisted features call AWS through Amazon Bedrock. Snowflake and AWS each provide a Business Associate Agreement. Salus does not claim a FedRAMP or StateRAMP authorization, and it does not claim certifications held by infrastructure it does not run on.

What Salus adds on top

Role-based access is scoped per lab, so permissions match each person's real responsibilities and are enforced on every mutating action, not just at login. Authentication uses scrypt password hashing and signed JWTs, with TOTP multi-factor authentication and SSO/SCIM provisioning available for organizations that need it.

Sensitive identifiers such as patient names and MRNs are encrypted at the field level, with blind-index search so encrypted data stays usable rather than forcing a tradeoff between security and searchability. Idle sessions log off automatically, a HIPAA technical safeguard that requires no staff discipline to enforce.

A chain of custody you can actually verify

Specimen events and released results are written to an append-only, cryptographically anchored ledger, so custody is tamper-evident end to end, a result's history can be verified without trusting any single database administrator. When an inspector asks who verified a result three months ago, the audit trail and custody record answer in seconds, not after a scramble through logs.

The same discipline extends to the AI layer: AI personas hold scoped permissions that mirror staff roles, only a human can fully disable a persona, and every persona control action is written to the same append-only audit trail as clinical actions.

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