- Health Data Privacy
- Healthcare Technology
Why On-Device Storage Matters for Health Data
Cloud storage is convenient, but for sensitive health data, on-device storage offers important privacy and security advantages.
Medically reviewed by
Board-Certified Clinical Informatics Physician
Updated on September 20, 2024
The Case for Keeping Health Data on Your Device
In a world where everything is moving to the cloud, on-device storage might seem old-fashioned. But for health data, there are compelling reasons to keep your information local.
Understanding On-Device vs. Cloud Storage
Cloud Storage:
- Data stored on company servers
- Accessible from anywhere with internet
- Company has access to your data (usually encrypted)
- Subject to server breaches and outages
- Data stored locally on your phone/tablet
- Works offline, no internet required
- Only you have access to your data
- Protected by your device’s security
Why It Matters for Health Data
Health information is uniquely sensitive:
- Medical conditions and diagnoses
- Mental health records
- Genetic information
- Reproductive health data
- Substance use history
This information could affect:
- Insurance coverage
- Employment opportunities
- Personal relationships
- Future healthcare decisions
The Privacy Advantage
With on-device storage:
- No company access: Even the app developer can’t see your data
- No data mining: Your health info can’t be used for advertising
- No sale of data: Nothing to sell if there’s nothing on servers
- No government requests: Companies can’t hand over what they don’t have
- No breach risk: Server breaches don’t affect local-only data
The VertexMD Approach
VertexMD is built on an on-device-first architecture:
- All health records stored locally by default
- 256-bit AES-GCM encryption on your device
- AI processing happens entirely on-device
- Optional encrypted cloud backup (you control the keys)
- Data never leaves your device without explicit permission
But What About Backup?
Valid concern! On-device storage needs a backup strategy:
- Local backup: Encrypted backups to your computer
- Optional cloud sync: End-to-end encrypted, zero-knowledge
- Export options: Download your data in standard formats
VertexMD offers encrypted cloud backup for Pro and Family users, but with end-to-end encryption—we can’t read your data even on our servers.
The Best of Both Worlds
You don’t have to choose between convenience and privacy:
- Store sensitive data on-device
- Enable encrypted sync for multi-device access
- Export and share only when needed
- Maintain complete control over your information
Making an Informed Choice
When evaluating health apps, ask:
- Where is my data stored?
- Who can access it?
- Is it encrypted, and who holds the keys?
- What happens to my data if the company is sold or closes?
- Can I export and delete my data completely?
Your health data is too important to trust to apps that don’t prioritize your privacy.
About the reviewer
Dr. Sarah Chen, MD, MPH
Board-Certified Clinical Informatics Physician
Dr. Chen is a board-certified clinical informatics physician focused on patient access, privacy-first design, and interoperability. She reviews VertexMD content for clinical accuracy and translates standards like FHIR and HIPAA into practical guidance for tracking medical records across providers and devices.
- Clinical informatics
- Patient access & HIPAA rights
- Health data privacy
- FHIR & interoperability
- Personal health records
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