A&I Custom EHR Passes SOC2 Type II Audit
How A&I Solutions engineered a security-first custom EHR that successfully passed a SOC 2 Type II audit while strengthening compliance, governance, and data protection.
Contact Us
Building compliance into the EHR from day one
The client is a U.S.-based multi-specialty outpatient provider group managing sensitive patient information across multiple clinic locations. In addition to meeting HIPAA requirements, the organization needed its clinical platform to support a successful SOC 2 Type II examination that would demonstrate continuously operating security and governance controls.
Rather than retrofitting compliance features after implementation, the client partnered with A&I Solutions to build a security-first custom EHR with continuous monitoring, audit logging, access governance, and evidence generation embedded directly into the platform architecture.
Strengthening compliance through secure platform design
The Challenge
- Security controls required continuous operation instead of one-time configuration.
- Access governance and data protection needed to satisfy both HIPAA and SOC 2 expectations.
- Collecting audit evidence required extensive manual effort.
Our Solution
- Built security controls directly into the EHR architecture.
- Implemented continuous monitoring and centralized audit logging.
- Automated compliance reporting and evidence generation.
Cloud-native security architecture for continuous compliance
A&I Solutions developed the platform on Microsoft Azure using a security-first architecture that incorporated FHIR R4, SMART on FHIR, Azure API Management, Azure Monitor, OAuth 2.0, Single Sign-On (SSO), Role-Based Access Control (RBAC), encrypted data storage, and HIPAA-compliant audit logging. Continuous monitoring, governance workflows, and centralized evidence collection enabled the organization to maintain ongoing compliance while supporting a successful SOC 2 Type II examination.
Custom EHR software development built for compliance
A&I Solutions designed and implemented a secure healthcare platform through custom EHR software development, embedding security, governance, monitoring, and audit capabilities directly into the application’s architecture.
Rather than adding compliance controls after deployment, the platform was engineered to continuously protect sensitive healthcare data while supporting audit readiness from day one. Through this A&I Solutions client success,, the project demonstrates how custom EHR platforms can simplify regulatory compliance while strengthening operational security.
1. Security-first platform architecture
A&I Solutions developed the EHR with enterprise-grade security controls that continuously protected clinical data while supporting compliance requirements.
- Role-Based Access Control (RBAC)
- OAuth 2.0 authentication and Single Sign-On (SSO)
- Encryption for data at rest and in transit
- Least-privilege access across clinical and administrative roles
2. Continuous compliance and governance
The platform continuously monitored security operations while generating the audit evidence required for ongoing compliance.
Azure Monitor, centralized logging, and automated alerts tracked security events across the platform in real time.
HIPAA-compliant audit logs, access reporting, and exportable compliance records simplified regulatory reviews and audit preparation.
Controlled change management, approval workflows, and configuration governance maintained operational consistency across environments.
Built on Microsoft Azure with SMART on FHIR, OAuth 2.0, RBAC, SSO, encryption, and HIPAA-compliant audit logging to protect healthcare data. Continuous monitoring and governance ensured ongoing SOC 2 compliance and audit readiness.