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docs: HEALTHCARE-TRANSCODING — OGAR for HIPAA/healthcare (FHIR-grounded, label-free)#28

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docs: HEALTHCARE-TRANSCODING — OGAR for HIPAA/healthcare (FHIR-grounded, label-free)#28
AdaWorldAPI merged 1 commit into
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claude/healthcare-transcoding

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HEALTHCARE-TRANSCODING.md — OGAR for HIPAA/healthcare (the other half of "AST/OGAR for both")

Completes the pair with ODOO-TRANSCODING.md (ERP). The healthcare-domain Class/ActionDef/Identity mapping.

Grounding — leak-safe by construction

Grounded in the PUBLIC FHIR R4 / HL7 standard + HIPAA regulations — never a private deployment. That's deliberate: the healthcare production instance is PII-laden, so the spec is written against the public standard. Pre-push leak scan confirms zero project names + zero German PII tokens.

Label-free, on purpose (demonstrates the §4 property)

The doc maps healthcare shapes (a date-typed PHI field exists, with these access controls), never labels (what it's called — FHIR birthDate, or a deployment's localized caption). It proves the property by example: the entire healthcare domain maps to OGAR without naming a single PHI value or caption. Per DOMAIN-INSTANCES.md §0 — the contract holds shape; the consumer binds labels via the Adapter.

What's in it

  • §0 trichotomy for healthcare (FHIR Semantik / FHIR-wire Syntax / clinical+compliance Pragmatik).
  • §1 FHIR resources → Class (Patient/Encounter/Observation/Condition/MedicationRequest/Consent → Class; AuditEvent → the Lance version log, not a Class). Shape + Marking: PHI, never captions.
  • §2 clinical workflow → ActionDef (admit/order/result/amend/discharge/break-glass); Encounter.status domain workflow vs ActionState lifecycle (ADR-001 two-level).
  • §3 the Security Mesh = HIPAA's two requirements on the firewall's two sides: minimum-necessary access (inner palette256 + Hamming bit-op, no serialization, every PHI read) + immutable audit (outer signed Lance-version append). Healthcare is the canonical firewall case.
  • §4 the label-free contract IS the PII guarantee — captions can't leak through OGAR because OGAR never holds them (GDPR/HIPAA grade by construction).
  • §5 §14 oracle for healthcare (resource round-trip, access-control equivalence, audit completeness) — against public FHIR reference behavior.
  • §6 capability coverage — the only domain that hard-proves row-level perms + signed audit.

Pairs with

Pure docs; public-standard grounding only.

https://claude.ai/code/session_01PBTGaPCSnnt6u3pjXpbLwY

…ed, label-free)

Completes 'AST/OGAR for both' — the healthcare-domain Class/ActionDef
mapping, pairing with ODOO-TRANSCODING (ERP). Grounded in the PUBLIC
FHIR R4 / HL7 standard + HIPAA regs, NEVER a private deployment — leak-
safe by construction.

Label-free on purpose: maps healthcare SHAPES (a PHI date field exists
with these access controls), never LABELS (the caption — FHIR or a
deployment's localized PII caption). Demonstrates the property: the
entire healthcare domain maps to OGAR without naming one PHI value or
caption.

§3: the Security Mesh = HIPAA's two requirements on the firewall's two
sides — minimum-necessary access (inner palette256 bit-op, no
serialization) + immutable audit (outer signed Lance-version append).
§4: the label-free contract IS the PII guarantee (captions can't leak
through OGAR because OGAR never holds them — GDPR/HIPAA grade).

Pre-push leak scan clean (no project names, no German PII tokens).

https://claude.ai/code/session_01PBTGaPCSnnt6u3pjXpbLwY

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Comment on lines +158 to +159
- `docs/DOMAIN-INSTANCES.md` — the domain catalogue; §2.5 (healthcare), §0 (the label-free / inherit-schema-via-contract property).
- `docs/THE-FIREWALL.md` §7.2 — healthcare as the canonical firewall demonstration (inner palette256 auth + outer signed audit).

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P2 Badge Point cross-references at existing documents

These two cross-references introduce dead local documentation links: I searched the repository with find /workspace/OGAR -name 'DOMAIN-INSTANCES.md' -o -name 'THE-FIREWALL.md' and neither file exists, so readers following the healthcare mapping cannot verify the cited catalogue/firewall sections. Please either add those docs in the same change or update these references to the existing files/sections that contain this material.

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