Medium1 markMultiple Choice
Domain 1: Designing and Planning a Cloud Solution ArchitectureDomain 1Cloud Healthcare APIData IngestionCase Study
This question is part of a case study — click to read the full scenario(Case 11)

CASE STUDY: CareData Health

Company Overview:
CareData Health is a large healthcare provider network operating 50 hospitals. They manage petabytes of patient records, medical imaging, and telemetry data.

Current Technical Environment:

  • Decentralized on-premises data centers at each hospital
  • Legacy Electronic Health Record (EHR) systems
  • Fragmented data silos preventing holistic patient views

Business Requirements:

  • Centralize patient data into a single secure data lake
  • Enable machine learning for predictive diagnostics
  • Securely share anonymized data with external research partners

Executive Statements:

  • CEO: "We must leverage AI to improve patient outcomes and reduce readmission rates."
  • CISO: "Zero tolerance for data breaches. Patient data must be encrypted everywhere, and we must prevent any unauthorized data exfiltration."
  • DPO (Data Protection Officer): "We must strictly adhere to HIPAA in the US and GDPR for our European patients. Data residency is mandatory."

Technical Requirements:

  • End-to-end encryption using keys managed by CareData
  • Strict access controls and comprehensive audit logging
  • Ingestion of HL7 and FHIR healthcare data formats
  • Physical separation of EU and US data

Constraints:

  • Highly regulated environment
  • Legacy systems cannot be modified, only integrated with

QUESTION:
To meet the CISO's requirement of preventing unauthorized data exfiltration from the centralized data lake (BigQuery and Cloud Storage), which security control should you implement?

GCP PCA · Question 13 · Domain 1: Designing and Planning a Cloud Solution Architecture

CASE STUDY: CareData Health

Company Overview:
CareData Health is a large healthcare provider network operating 50 hospitals. They manage petabytes of patient records, medical imaging, and telemetry data.

Current Technical Environment:

  • Decentralized on-premises data centers at each hospital
  • Legacy Electronic Health Record (EHR) systems
  • Fragmented data silos preventing holistic patient views

Business Requirements:

  • Centralize patient data into a single secure data lake
  • Enable machine learning for predictive diagnostics
  • Securely share anonymized data with external research partners

Executive Statements:

  • CEO: "We must leverage AI to improve patient outcomes and reduce readmission rates."
  • CISO: "Zero tolerance for data breaches. Patient data must be encrypted everywhere, and we must prevent any unauthorized data exfiltration."
  • DPO (Data Protection Officer): "We must strictly adhere to HIPAA in the US and GDPR for our European patients. Data residency is mandatory."

Technical Requirements:

  • End-to-end encryption using keys managed by CareData
  • Strict access controls and comprehensive audit logging
  • Ingestion of HL7 and FHIR healthcare data formats
  • Physical separation of EU and US data

Constraints:

  • Highly regulated environment
  • Legacy systems cannot be modified, only integrated with

QUESTION:
How should you architect the ingestion pipeline to handle the legacy EHR data formats (HL7 and FHIR) without modifying the legacy systems?

Answer options:

A.

Write a custom Python script on Compute Engine to parse the HL7 messages using regular expressions.

B.

Use the Cloud Healthcare API to ingest, parse, and de-identify the HL7 and FHIR data before storing it in BigQuery.

C.

Stream the data directly into Cloud Spanner and use SQL views to format the data.

D.

Use Cloud Data Fusion to connect directly to the legacy EHR databases and extract the data.

How to approach this question

Look for industry-specific requirements. HL7, FHIR, and DICOM are healthcare standards. Google Cloud has a specific API for this.

Full Answer

B.Use the Cloud Healthcare API to ingest, parse, and de-identify the HL7 and FHIR data before storing it in BigQuery.✓ Correct
Use the Cloud Healthcare API to ingest, parse, and de-identify the HL7 and FHIR data before storing it in BigQuery.
The Cloud Healthcare API provides a managed solution for storing and accessing healthcare data in GCP. It natively supports industry standards like HL7v2, FHIR, and DICOM. It also includes built-in de-identification capabilities, which perfectly aligns with the business requirement to 'securely share anonymized data with external research partners'.

Common mistakes

Choosing to build a custom parser (A) is an anti-pattern in cloud architecture when a fully managed, compliant service already exists.

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