> Does anyone have any knowledge of HIPAA compliance related to web and
> database server setup? Specifically, if I have one database server and one
> web server, does the database server need to be completely removed from the
> internet or can the firewall filter out everything but what I need to
> communicate between the two servers anyhow, like the SQL Server Port?

To the best of my knowledge, a separate network for your database
server is not required for HIPAA compliance. HIPAA, like most
government-mandated security rules, is pretty general about
requirements, and doesn't go too much into implementation details. The
HIPAA requirement is basically "don't expose ePHI data to unauthorized
access", which means a lot of different things to a lot of different
people. I think this would probably end up being at the auditor's
discretion. A more significant issue would be, who within your
organization can access unencrypted ePHI data? Having encrypted data
within your database doesn't matter too much if your DBA or any
developer can decrypt it at will. So, once again, key management
becomes a problem.

That said, placing your database server on a separate network is a
very good idea if security is your biggest concern. Of course, this
may significantly increase the cost of doing business in many
respects, such as backup and standard management tasks.

As I'm not certified as a HIPAA compliance auditor, you should not
rely solely on my advice for direction, of course. You should probably
discuss this with your auditing firm. And you will need one; you
aren't compliant with anything until someone audits you.

> I would check out this link which should have the information that you are 
> looking for:
> https://www2.sans.org/reading_room/whitepapers/hipaa/hipaacompliant_configuration_guidelines_for_information_security_in_a_medical_center_environment_891

Actually, and somewhat surprisingly, it has absolutely no information
about database server security, and very little useful information at
all beyond the "manager briefing" level. I expect better from SANS.

Dave Watts, CTO, Fig Leaf Software
http://www.figleaf.com/

Fig Leaf Software provides the highest caliber vendor-authorized
instruction at our training centers in Washington DC, Atlanta,
Chicago, Baltimore, Northern Virginia, or on-site at your location.
Visit http://training.figleaf.com/ for more information!

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