OpenClaw meets healthcare: FHIR data access with PHI guardrails
A healthcare IT professional designed a middleware layer allowing OpenClaw to access FHIR health data without the LLM ever seeing raw protected health information.
What the Architecture Does
- FHIR API access: queries health data through standard endpoints
- PHI de-identification: strips patient identifiers before data reaches the LLM
- Vendor neutral: works with Epic, Cerner, any FHIR system
- Audit trail: every access logged for HIPAA compliance
How It Works
The LLM never sees raw PHI. A guardrail layer handles de-identification before any clinical data reaches the AI. Published on Substack with architecture documentation.
Results: Architecture proven: AI agents can safely access clinical data with proper guardrails.