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docs: add healthcare and mental wellness security considerations
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# Healthcare and Mental Wellness Security Considerations
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## Context
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Cloud-native and blockchain-based systems are increasingly used in healthcare and mental wellness. These systems must follow strict privacy and security practices due to the sensitivity of personal health information (PHI/PII).
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## Principles
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- **Data minimization:** Never place PHI/PII directly on public chains or in unencrypted logs.
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- **Consent workflows:** Use Verifiable Credentials (VCs) and Decentralized Identifiers (DIDs) to manage patient consent off-chain, verifying proofs without exposing raw attributes.
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- **Privacy-preserving analytics:** Apply commitments, zero-knowledge proofs, and aggregation to measure outcomes without leaking individual records.
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- **Incident readiness:** Define break-glass procedures, rotation plans, and clear audit trails.
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- **Mental wellness risk:** Misuse or leakage of mental health data has higher ethical stakes; systems must exceed baseline privacy standards.
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## Checklist
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- [ ] No PHI/PII in logs, storage, or transactions.
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- [ ] Consent captured via VCs/DIDs with expiration + nonce.
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- [ ] Cloud-native deployments include encryption at rest and in transit.
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- [ ] Break-glass access is gated and logged.
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- [ ] Testing covers reentrancy, replay, and denial-of-service threats in consent flows.
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## References
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- CNCF TAG-Security docs
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- NIST Privacy Framework
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- HIPAA Security Rule
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- HL7 FHIR Security and SMART on FHIR
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- W3C VC and DID Core

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