Easy access to data

Putting the user first

Protocols, status updates and test results can be stored safely and shared easily among the

professionals who need access.

With the growing complexity of the medical profession comes increasing amounts of patient data. Having patient information available in a moments notice can save lives. Nextcloud is designed for ease of use, fitting familiar interfaces and lowering the barrier to sharing and data access.

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Easy access

A first requirement for any secure solution to share data is that it does not force complexity on the user. Complexity leads to mistakes and mistakes can cost lives!

Nextcloud makes accessing and sharing data a breeze, providing users a comfortable, familiar workspace.

Multi-platform productivity

Data needs to be available where the patient is. Tablets, mobile devices, laptops and desktops all have access to the same files at a moments notice thanks to the first-class Nextcloud clients.

Doctors and nurses can tag and comment on files for easy collaboration, roll back files to earlier versions or find deleted files in the trash. Real time collaborative editing and secure audio/video calls and chat complement the array of features aimed at enhancing productivity.

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What are HIPAA and HITECH

The Health Insurance Portability and Accountability Act is a US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers.

HIPAA mandates industry-wide standards for protection and confidentiality of protected health information (PHI), both technical and in terms of processes.

the HITECH Act widens the scope of privacy and security protections available under HIPAA; it increases the potential legal liability for non-compliance; and it provides for more enforcement.

Learn more:

  • HIPAA combined regulation text
  • HIPAA privacy rules
  • HIPAA security regulations
  • HIPAA security technical safeguards requirements

Nextcloud fits seamlessly in a HIPAA compliant infrastructure. More details below.

Data protection

Secure your data

While data needs to be at medical professionals' finger tips at all times, the IT department must

be able to ensure policies around Protected Health Information are respected.


Healthcare data is at the same time extremely sensitive and needs to be immediately accessible. Regulators are aware and privacy and security requirements are extremely strict with HIPAA and HITECH rules in the US matched in many other countries across the globe.

Nextcloud is a popular self-hosted solution in healthcare for its ability to strictly control access to data and industry-leading security capabilities.

File Access Control

The File Access Control feature of Nextcloud enables IT to codify legal and policy requirements, blocking unauthorized users uploading or downloading data following defined rules. Criteria include IP address ranges, group membership, file type and size, time and more. Data retention can be controlled as well, enabling administrators to limit the lifetime of certain files.

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Monitoring and auditing logs

Nextcloud offers built-in powerful monitoring capabilities, enabling institutions to ensure smooth performance. Systems can be monitored using the web interface or through monitoring and systems intelligence tools like OpenNMS, Splunk, Nagios or others. A full auditing system logs all user actions, enabling fully compliant usage of file sync and share.



Nextcloud uses industry-standard SSL/TLS encryption for data in transfer. Data at rest in storage can be encrypted using a default military grade AES-256 encryption with server-based or custom key management. Optionally and on a per-folder base data can be end-to-end encrypted on the client with the server assisting in sharing and key management using a Zero-Knowledge model.

Seamless integration and ease of use with key features like offline recovery keys, auditing and HSM support make Nextcloud Encryption capabilities leading in the industry.

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A DICOM viewer in Nextcloud

Digital Imaging and Communications in Medicine (DICOM) is the international standard to handle medical images, ubiquitous worldwide in radiological imaging devices and systems.

A third party developed a DICOM viewer for Nextcloud, enabling medical professionals to view and modify DICOM files. It parses and displays patient information, enabling viewing of images with informational overlays including Computed Radiography (CR), Computed Tomography (CT), Digital Radiography (DX), Mammography (MG), and Magnetic Resonance (MR).

The DICOM viewer is a powerful example of the capabilities of Nextcloud and how it can be extended and integrated to support the workflow of professionals.

Learn more:

  • Introducing the Nextcloud DICOM viewer
  • The DICOM viewer in our App Store

Easy integration

Efficient deployment and management

Complexity is the enemy of security and Nextcloud is designed to offer quick and easy
integration in existing infrastructure, leaving policies and procedures in place. Its powerful LDAP
and storage integration seamlessly fits with existing user directories, Windows Network Drive,
NFS and Sharepoint storage solutions.

The result: a quick implementation at low cost, and easy maintenance making a self-hosted
Nextcloud the cloud compliance solution with the lowest TCO.

Key features in Nextcloud


Fully self-hosted, meaning all data is under your control. Nextcloud can leverage your existing storage, security and privacy policies. There is no vendor lock-in or tracking by us of any kind!


Nextcloud offers an easy to use user interface which comes with powerful search functionality, trash and versioning, favorites, tags and more ways to quickly reach the files users need.


Desktop and mobile clients for Windows/MacOS/Linux, Android and iOS complement the web interface, integrating in the file system. Nextcloud can also be reached through WebDAV.


Authentication through LDAP / Active Directory, Kerberos and Shibboleth / SAML 2.0 and more and external storage supporting NFS, Object Storage and other protocols ensure easy integration.


First-class security policies, extensive security hardening features and File Access Control to ensure legal and privacy regulations are enforced at all times. Nextcloud comes with integrated logging, two-factor authentication and NIST compliant password policy control functionalities.


Nextcloud offers fine-grained control from mobile, desktop or the Web over data access and sharing capabilities. Advanced quota management with configurable accounting of external storage and configurable file retention policies.

Deep Integration

Nextcloud integrates

Nextcloud integrates in hospital infrastructure with support for SAML and Shibboleth, LDAP, Kerberos, Oauth, and other often used authentication mechanisms and runs on all enterprise Linux systems offering support options to match their life cycle.


Data storage can be one or multiple NFS, Object Storage, Samba or a variety of other powerful storage mechanisms. This way Nextcloud provides seamless access to data on existing storage mechanisms, respecting existing access control policies and transparently handling changes on the underlying storage layer.

Nextcloud and HIPAA



Nextcloud meets all Technical Safeguards requirements, supporting full compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Nextcloud GmbH is committed to ensure its software keeps PHI (Protected Health Information) private and secure. We have implemented features, policies and procedures designed to ensure compliance with Federal and State information security laws, regulations, and rules, and monitor ongoing compliance efforts.

Nextcloud supports:

  • Advanced Access Control capabilities
  • Automatic expiration of passwords
  • Account lockout upon multiple failed log-in attempts
  • Automatic virus scans
  • Secure data backups
  • Audit-ready logging of all user actions
  • Data-at-rest, in-transit and full end-to-end encryption
  • Email verification and two-factor authentication


The self-hosted nature of Nextcloud ensures Nextcloud usage does not change existing compliance of infrastructure, provided features and capabilities are employed as required by HIPAA and other legislation. Nextcloud can advise in implementing a HIPAA compliant setup.

Nextcloud services are designed not to require that our employees gain access to any customer data. In case this is required for specific support cases, confidentiality agreements are signed with all employees and extensive security processes are in place to log, investigate and report any breaches.

We understand that keeping your client’s information safe is of the utmost importance and Nextcloud GmbH will continue to provide its software and services in accordance with the relevant requirements of all state and federal laws and regulations, including, as applicable, HIPAA.

For additional information regarding Nextcloud’s privacy practices as they relate to this website, please see our Privacy Statement.