Private AI for healthcare and life sciences

Your compliance officer will ask about AI. Here is the architecture we would show them.

A private AI platform deployed inside your own HIPAA-eligible Azure subscription, under your Microsoft BAA. PHI is never used to train public models. Mapped to the HIPAA Privacy and Security Rules, 21 CFR Part 11, and 21 CFR 820 / ISO 13485, using the same architecture we run for a Tier 2 defense manufacturer under ITAR and CMMC rules.

BAASigned where PHI is involved
Part 11Audit-trail ready
ISO 13485QMS-mapped
HIPAA Privacy and Security Rules 21 CFR Part 11 and Annex 11 Controls designed around SOC 2 Type II criteria
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The same platform is already running real work for nBrain clients in regulated industries.

92%
less sales-team time on RFQs at Regal Technology Partners, a Tier 2 defense manufacturer
5 months
from first idea to a Brain built and launched across a 200-person manufacturer
65%
lower cost per AI task, because the orchestrator sends each task to the right model
33.5%
average increase in employee productivity within six months

These results come from nBrain clients across industries. None of them is a healthcare client, and none involves PHI.

01The healthcare and life sciences AI problem

Most compliance teams conclude they can't use AI safely. Most are wrong about why.

Four forces land on every compliance officer, CIO, QA lead, and VP of Regulatory Affairs in healthcare at the same time.

Consumer AI is a reportable disclosure

ChatGPT, Copilot, and other consumer tools send data to vendors that aren't covered by a BAA for PHI and aren't validated under 21 CFR Part 11 for regulated R&D. A clinician pasting a patient note, or a scientist pasting an IND draft, is a reportable disclosure under HIPAA or an IP loss under your CDA, every single time.

Shadow AI is already inside your walls

Your clinicians, scientists, and engineers are using AI tools right now. They just aren't telling you. The CISOs, CMIOs, and heads of compliance we talk to confirm it. The exposure is happening, the audit log doesn't exist, and OCR or FDA will eventually ask.

“AI-enabled” SaaS is a black box

Vendors adding AI features to EHRs, CTMS, eQMS, and ERPs usually run inference on their own infrastructure, under their terms, not yours. The BAA may not reach the inference layer. The audit trail may not be tamper-evident. The validation package may not satisfy your computer system validation team.

The cost of doing nothing is now visible

Your peers are running AI on prior authorization, clinical documentation, IND drafting, complaint coding, and clinical evaluation report refreshes today, inside their own perimeters. Doing nothing means meeting the same regulator expectations without any of the operational benefit.

02Who it's built for

Three healthcare pillars. Same architecture, different rules.

One private AI architecture, mapped to the three regulatory regimes that matter most in healthcare: HIPAA for providers, 21 CFR Part 11 for pharma R&D, and ISO 13485 / 21 CFR 820 for medical devices. Each deployment speaks its own compliance language.

Hospitals, health systems, academic medical centers, payers

Providers and hospitals

AI you can defend under HIPAA, running inside your existing Microsoft BAA. It closes the shadow-AI exposure every CISO knows is happening but can't prove.

  • Clinical documentation summaries
  • Prior authorization letter drafts
  • Claims and denial-management triage
  • Revenue cycle throughput
  • Patient outreach drafts
HIPAA PrivacyHIPAA SecurityHITECHBAA
Pharma, biotech, and CROs

Pharma and biotech R&D

AI you can defend under 21 CFR Part 11 and EU Annex 11, on regulated R&D data. It protects pre-IND IP and shortens regulatory submission cycles.

  • IND, NDA, and BLA module drafts
  • Protocol and statistical analysis plan authoring
  • CMC documentation drafts
  • Pharmacovigilance signals and adverse event narratives
  • Literature review at scale
21 CFR Part 11Annex 11ICH E6(R3)GxP
Medical devices, IVD, and SaMD

Medical devices

AI you can defend under 21 CFR 820, IEC 62304, and ISO 13485, inside your QMS. It shortens 510(k) and clinical evaluation report cycles without breaking design controls.

  • Design history file and complaint retrieval
  • 510(k), De Novo, and PMA drafts
  • Clinical evaluation report refreshes under EU MDR
  • Complaint coding and adverse event narratives
  • CAPA root-cause pattern detection
21 CFR 820IEC 62304ISO 13485EU MDR

See the QMS control mapping →

03Architecture

AI that lives inside your compliance perimeter.

Your PHI, your IP, and your design history file stay inside your security boundary. The model never trains on your data. Microsoft's BAA and data protection addendum commit to that in writing.

HIPAAPrivacy and Security Rules
Part 11Electronic records
820 / 13485QMS and design controls
SOC 2Type II criteria, by design
04Compliance mapping

One architecture, three frameworks.

Each row is a part of the architecture. Each column is a regulatory regime. Same platform, three audit answers.

Architecture componentHIPAA (providers)21 CFR Part 11 (pharma R&D)21 CFR 820 / ISO 13485 (devices)
No retention by the AI modelPrivacy Rule §164.502§11.10(a) record integrity820.40 document control
Encryption at rest (AES-256)Security Rule §164.312(a)(2)(iv)Annex 11 §7.1 data security820.30(g) design transfer
Encryption in transit (TLS 1.3)Security Rule §164.312(e)Annex 11 §5 data integrity820.70 production controls
Role-based, least-privilege accessPrivacy Rule minimum necessary§11.10(d) authority checksISO 13485 §7.5.6 traceability
Tamper-evident audit loggingSecurity Rule §164.312(b)§11.10(e) audit trails820.180 records retention
Source citation on every outputClinical-accuracy attestation§11.10(b) record reproduction820.30 design verification
BAA, DPA, and QMS coverageBusiness associate agreementAnnex 11 §3 supplier managementISO 13485 §7.4 purchasing
Validation and IQ / OQ / PQ artifactsRisk analysis §164.308(a)(1)Computer system validation, Annex 11 §4IEC 62304 software lifecycle
US-only data residencyBAA territorial scopeSponsor and CRO data sovereigntyTechnical file localization
How to read this table

This is how the architecture lines up with each framework. It is not a legal opinion or an attestation. Under the FDA's Quality Management System Regulation, in effect since February 2026, the legacy 820 section numbers are kept here as a crosswalk; your regulatory counsel confirms the final mapping. For the clause-by-clause versions, read the HIPAA architecture whitepaper and the medical device QMS mapping.

05What we cover on a 30 to 45 minute call

Focused discovery, not a slide deck.

You talk with engineers who have deployed private AI inside Azure for ITAR and CMMC programs, and who have translated the same architecture into HIPAA, Part 11, and ISO 13485 environments.

  • Your current architecture. We map where your data, your BAA, and your QMS sit today, and find the gaps before AI enters the picture.
  • HIPAA, Part 11, or ISO 13485 control mapping. How AI maps clause by clause to the framework that matters most to you, built into the architecture, not bolted on.
  • BAA and audit-log walkthrough. What your existing Microsoft BAA already covers, and the audit log an OCR investigator, FDA inspector, or notified body will ask for.
  • A real deployment. The platform we built for a Tier 2 defense manufacturer on ITAR-controlled program data, translated into your healthcare rules.
  • Quick wins without PHI. Start AI on accounts payable, contract analysis, or commercial-team enablement now, and prove the architecture before PHI or regulated R&D data goes anywhere near it.
Why the defense work matters here

If this architecture can carry ITAR-controlled defense program data, it can carry a HIPAA Security Rule audit, a Part 11 inspection, or a notified body's review of an ISO 13485 QMS.

Book a strategy session

Prefer to pick a time directly? Book with Cary Johnson →

One architecture, three audit answers

Your CISO, QA lead, and VP of Regulatory Affairs all defend the same thing.

The HIPAA architecture, the 21 CFR Part 11 control mapping, and the 21 CFR 820 / IEC 62304 / ISO 13485 mapping are already built. Give us 30 to 45 minutes and we'll walk your team through them.

Book a strategy session

Prefer email? hello@nbrain.ai