Pentests for FHIR, HL7, and the EHR.Without breaking the shift.

PHI moves through FHIR, HL7 v2, and telehealth WebRTC streams that audit checklists treat as black boxes. Our pentests open them: FHIR resource over-exposure, HL7 integration-engine tampering, and live WebRTC PHI leaks. Reports accepted by HIPAA, HITRUST, SOC 2, and ISO 27001 auditors.

HIPAA BAA standard · CERT-In empanelled · PHI-handled engagement

See the PHI attack paths
Four healthtech surfaces — FHIR, HL7, EHR/SSO, telehealth — converging on a chained PHI-exfil proof-of-exploit at the centre.

Three ways we test healthtech.

Pick the engagement that matches the surface. FHIR R4 endpoints, EHR SSO paths, and clinical copilots each fail differently. So we test them differently.

BugDazz Autonomous

Continuous coverage of FHIR R4 and HL7 v2 endpoints between human engagements. Catches PHI exposure drift the day a scheduling API ships, not at the next HITRUST cycle.

Red team engagement

Multi-week adversary emulation across EHR, billing APIs, and telehealth WebRTC. Tests whether your SOC catches the path a ransomware operator actually traverses.

AI and LLM pentest

Tests clinical scribes, patient chatbots, and summary copilots for prompt injection, PHI exfil chains, and over-prescription manipulation. HIPAA and SOC 2 evidence included.

Trusted by security teams across Fintech, SaaS & Education, Enterprise & Telecom, Security & Critical Infrastructure

Airbase
Quiltt
Pacvue
Imagine Learning

On record

  • CREST accredited
  • CERT-In empanelled auditor
  • AICPA SOC 2 Type II
  • ISO/IEC 27001

Why a HIPAA gap-assessment isn't a pentest

A control marked present is not a path closed.

HIPAA gap-assessments check whether a control exists. A pentest reports what an attacker can do with that control in place. We chain FHIR consent boundary drift, HL7 v2 integration-engine tampering, and telehealth WebRTC TURN abuse into a working proof-of-exploit your CISO and clinical-ops team can act on, then re-test until every PHI path is closed.

Two columns: HIPAA controls marked present on the left, the chained PHI-exfil path each one becomes on the right.
Two columns: HIPAA controls marked present on the left, the chained PHI-exfil path each one becomes on the right.

IN SCOPE.

Eight categories. Every PHI-touching surface in the stack.

FHIR, HL7 v2, EHR/SSO, telehealth, bedside devices, DICOM, the patient portal, and the mobile health app. The chain an attacker walks is rarely one of these alone.

FHIR APIs

Resource over-exposure across patient consent, search-parameter abuse, bulk-export drift.

HL7 v2 integration

Message tampering at the integration engine, MLLP injection, ADT/ORU forgery (Mirth, Rhapsody, NextGen Connect).

EHR + SSO

Session takeover via OAuth, SAML signature wrap, scope drift across charting and ordering.

Telehealth + WebRTC

TURN server PHI leakage, SDP injection, recording-bucket exposure, session-record exfil.

Bedside + DICOM

Infusion-pump CAN/serial pivot, vital-sign monitor MQTT abuse, DICOM service injection, study-UID tampering, anonymization bypass.

Patient portal + mobile

PHI IDOR, password-reset replay, MFA-fallback abuse, parent-proxy boundary, biometric bypass, deep-link auth, Keychain/Keystore drift.

HEALTHTECH ATTACK SURFACE.

What an attacker chains to walk PHI out of a modern healthtech stack.

8
  1. 01
    FHIR resource over-exposure

    Patient consent boundary drift, search-parameter abuse, bulk-export sub-resource leak — cross-patient read from a single low-scope token.

  2. 02
    HL7 v2 ADT tampering

    Integration-engine message rewrite, MLLP injection at the listener, ADT^A40 forgery merges patient identities and rewrites order history.

  3. 03
    EHR SAML signature wrap

    XML signature wrap on the SSO assertion, scope drift from a charting role into the ordering role, prescription write-path reached without a clinician seat.

  4. 04
    Telehealth WebRTC TURN exfil

    TURN server allocated on an untrusted relay, SDP injected to redirect media, encounter audio and screen-share PHI walked off to attacker storage.

  5. 05
    DICOM service injection

    C-STORE accepted from a forged AE title, study-instance UID tampering replaces an oncology study mid-read, anonymization layer bypassed on export.

  6. 06
    Patient portal IDOR

    Guardian/parent-proxy boundary collapses on a sibling record, MFA-fallback path replayed, full PHI history rendered to the wrong account.

  7. 07
    Bedside MQTT pump command

    Connected infusion pump on a flat clinical VLAN, MQTT broker abused for a control-plane write, dosage command crafted without the pump console.

PHI-EXPOSURE PATHS WE TEST.

HEALTHTECH PENTEST METHODOLOGY.

Eight phases. PHI-handled, closed-loop.

Scoped to your HIPAA boundary, EHR vendor flow, integration engine, and patient-facing surfaces. Not a template we run against every healthcare client.

  1. 01
    HIPAA + HITRUST scope mapping
  2. 02
    FHIR + consent boundary
  3. 03
    HL7 v2 + integration engine
  4. 04
    EHR + SSO chain
  5. 05
    Telehealth + WebRTC
  6. 06
    Bedside / DICOM pivot
  7. 07
    Chained finding + HIPAA-grade report
  8. 08
    Free re-test + detection handoff

Meet our expert

Meet our expert

John Dill

vCISO at SecureLayer7

10+

Years in offensive security

300+

Engagements led

99.7%

On-time delivery rate

John scopes healthtech engagements against your HIPAA boundary, EHR vendor flow, and clinical-ops blackout windows. He guides the pod from kick-off through final report and re-test.

  • Scopes FHIR, HL7 v2, EHR/SSO, telehealth, and bedside engagements against your real PHI flow.
  • Owns kick-off, mid-engagement check-ins, and live walkthrough of every PHI-exfil path.
  • Drives remediation review and re-test until every PHI path is closed and your CISO has written closure.
SL7 Lab. Published CVE research.
John Dill, vCISO at SecureLayer7

Ready to scope a healthtech pentest? Book 30 minutes with John to walk through your HIPAA boundary, EHR vendor flow, and clinical-ops window.

Book a 30-min call

Common procurement questions

What buyers ask about healthtech penetration testing.

Six questions procurement, compliance, and clinical-ops teams send before signing a healthtech pentest SOW. Answered against our methodology and your auditor.

Show all 6 questions

Have a procurement question not listed here?

Partner tear-sheet

Hand a 2-page HealthTech tear-sheet to the buyer.

A printable summary your partner can drop into a pitch deck: named HealthTech threats, methodology, compliance mapping, and the engagement leads to call. Saves as PDF from the browser.

Sample healthtech pentest report, kill-chain · evidence · remediation

Sample engagement report

See what arrives in your inbox.

A pre-vetted sample healthtech report: full PHI-exfil kill chain, working PoC traces, FHIR / HL7 / EHR fix guidance, and re-test scope. Sent on request after a 5-minute scoping call.