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Healthcare & HIPAA

Migration Guide

Switch existing profiles from standard to HIPAA mode safely

Migrating to Healthcare Mode

This guide covers switching an existing profile from standard mode to HIPAA mode, including what changes, what doesn't, and how to roll back if needed.

Pre-migration checklist

Before switching:

  • List all active signal rules and their event types
  • Identify which rules send non-revenue events (appointment_booked, closed_won, etc.)
  • Inform the customer that some exports will be blocked after migration
  • Confirm the customer's legal team is aware of the DPA/BAA
  • Record current export volume in Conversion Sync > Deliveries for comparison

Migration steps

Audit current state

Note the current setup:

  • Privacy mode (should be standard)
  • Active signal rules and their source event types
  • Recent export volume and patterns in the Conversion Sync feed
  • Which destinations are active (Meta, Google)

Accept the DPA/BAA

Navigate to Conversion Sync > Privacy & Compliance and switch privacy mode to HIPAA. The DPA/BAA acceptance modal appears. Scroll through and accept.

This sets: BAA Approved, HIPAA Eligible, Signed, all acknowledgements checked.

Configure the allowlist

The privacy panel now shows allowlist checkboxes instead of blocklist fields.

Review each conversion definition carefully:

Event TypeRecommendation
Payment ReceivedSafe — revenue data, no PHI
Lead CreatedGenerally safe — PII is hashed before export
Appointment BookedReview carefully — may reveal health conditions
Closed WonReview carefully — deal names may contain health context
Checkout StartedDepends on what is being purchased
Order PlacedDepends on product names

Only check event types you are confident do not leak PHI.

Verify exports

Wait for new events to flow through, then check Conversion Sync > Deliveries:

  • Allowed event types: status: sent
  • Blocked event types: status: skipped, reason: healthcare_allowlist_blocked
  • All sent events should show privacy filters in filters_applied

Communicate to the customer

Inform them:

  • Which event types are now exported vs. blocked
  • Internal attribution and reporting are unaffected
  • The dashboard now shows a green "HIPAA Active" badge
  • Pipeline stage transitions are no longer exported

Impact on existing data

WhatImpact
Historical events in events_enrichedNo change — already stored
Historical conversion_exportsNo change — already sent/skipped
Active signal rulesStill active, but gated by the allowlist
Pipeline stage transition rulesBlocked from exporting (rules still saved)
Attribution dataNo change — internal attribution is unaffected
Dashboard metricsNo change — reads from views/sessions, not exports

Rollback

If you need to switch back:

  1. Go to Conversion Sync > Privacy & Compliance
  2. Switch privacy mode from HIPAA to Standard
  3. Blocklist fields reappear, allowlist checkboxes disappear
  4. The legal gate is no longer enforced
  5. All event types become exportable again

Rolling back removes all HIPAA protections

Only switch back if the profile no longer handles healthcare data. The DPA/BAA acceptance record is preserved in the legal compliance table for audit purposes.

Bulk migration for agencies

  1. Enable Healthcare Agency Mode in Workspace Settings > Compliance
  2. This does not auto-switch existing profiles — each must be migrated individually
  3. Use the compliance overview table to track progress
  4. New profiles created after enabling agency mode default to HIPAA

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