ORAK · Identity & Access · 1440
Identity · ORAK
Suite 5 · Phase 2 · Org Hierarchy + RBAC
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M24 · Suite 5 · ORAK · Identity & Access (Phase 2)

Identity & Access · ORAK

4-level org hierarchy · 28 custom roles · query-layer scope · scoped API keys · 100% audit chain
Identity & Access · live
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ORAK
Phase 2 RBAC · 4-level org hierarchy · query-layer enforcement · scoped API keys · 100% audit
Active Users
4,824
across 47 organizations
Custom Roles
28
per-org configurable
Scoped API Keys
142
14 due rotation
Audit Events · 24h
38.2K
100% chained · CAIG

Organization hierarchy · Phase 2 4 levels · Leidos VA deployment example + Add node

CC
Life365 · CloudCare Platform L0 · Root
Platform-wide · super admin · 12 users
users: 4,824orgs: 47patients: 284K
LD
Leidos · VA System Integrator L1 · Integrator
Cross-org admin · read-only deployment view · 38 users
orgs: 15users: 1,128patients: 62K
VA
VA Phoenix Health Care System L2 · Organization
Org admin: J. Hartwell · isolated patient population · BAA in place
facilities: 4users: 142patients: 8,412
FC
Carl T. Hayden VA Medical Center L3 · Facility
Facility admin: M. Park · 38 users · IHT 2.0 VITAL deployment
teams: 6patients: 2,841
CT
Care Coordination Team · Cardiology L4 · Team
12 coordinators · scoped to ICD I50 / I10 / I11 cohorts only
users: 12patients: 684
CT
Care Coordination Team · MH/PTSD L4 · Team
8 coordinators · scoped to F33 / F43.1 cohorts · ES-fluent route
users: 8patients: 312
VA
VA Tucson · Southern Arizona L2 · Organization
Org admin: K. Ramirez · isolated patient pool · cannot see Phoenix
facilities: 3users: 108patients: 6,288
SC
SAIC · DoD Contract Integrator L1 · Integrator
DoD/DHA portfolio · 8 facilities · cross-facility admin view
orgs: 8users: 422patients: 28K
MX
Maximus Health · RHTP Integrator L1 · Integrator
12 rural health systems · CAH/RHC/FQHC mix · RHTP Domain 9
orgs: 12users: 284patients: 14K

Permission matrix · Cardiology Coordinator role L4 team-level scope Edit role →

Action Cardiology Coord
team-scoped		 Org Admin
all patients		 Quality Analyst
read-only		 Compliance
audit only
View patient record Scoped ✓ ✓ ×
Edit care plan ✓ ✓ × ×
Place VIDA call ✓ ✓ × ×
View Stars / CQID gaps Scoped ✓ ✓ ×
Export CSV / report × ✓ ✓ ×
View BIM evidence × ✓ × ×
Manage users × ✓ × ×
View audit logs × Scoped × ✓
Modify protocols / Configurator × × × ×

Scoped API keys 142 active · 14 due rotation + Generate key

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