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Sector brief · Healthcare & Hospitals

Run clinical AI inside the hospital's trust boundary, not around it.

Diagnostic models and cohort matching execute inside attested TEEs next to the EHR. PHI stays encrypted in memory; the contract fixes de-identified fields and blocks writes that could persist identifiers.

Run in your existing AWS, Azure or GCP tenant, with the same policy gate and the same silicon attestation.

  • HIPAA

    PHI stays inside the enclave; no raw record leaves the hospital's boundary.

  • EHDS

    Secondary use is limited to the approved cohort and the signed purpose.

  • GDPR Art. 9

    Special-category data is processed under field-level policy and a named reviewer.

Module B · interactive demo

The policy gate holds when the workload does not.

A scripted walkthrough of the same gate that runs in production. Boot the enclave, then try to break the contract. Nothing here touches real data.

Pipeline Contract

PC-HLT-2026-11

Signed
Purpose
Clinical diagnostic support + cohort matching
Reviewer
DPO / Clinical Governance
Output limit
diagnosis_probability + cohort_count; no PHI
Retention
0 days in enclave; bundle retained 10 years

Allowed columns

  • deidentified_lab_values
  • imaging_embeddings
  • cohort_id
  • encounter_type
  • age_band

Blocked by policy

  • patient_mrn
  • patient_name
  • raw_clinical_notes

Command allow-list

read_deidentified_columns · run_diagnostic_model · match_cohort

contract_hash 49d709b8d02fd899600ba8db35…

tee://healthcare/policy-gate

Armed

Awaiting action

Boot the enclave, then try to read a blocked column or open a network connection.

The gate is armed. The contract is signed.

chain head 4c02f88fc29c10c306…

Module C · architecture inspector

One trust anchor. Two perimeters.

The policy engine and workload run identically in both modes because the trust anchor is the CPU/GPU silicon, not the infrastructure owner.

Cloud Confidential VPC and on-premise air-gapped architecture comparison
Architectural layerCloud Confidential VPCOn-Premise / Air-Gapped
Where the data livesA sovereign cloud enclave inside the hospital's VPC, next to the EHR.Hospital-owned GPU servers behind the clinical firewall, including air-gapped research wings.
TEE hardware targetAWS Nitro Enclaves; Azure/GCP Confidential VMs on AMD SEV-SNP or Intel TDX; NVIDIA H100 confidential GPUs for imaging.Bare-metal AMD EPYC (SEV-SNP), Intel Xeon (TDX) and NVIDIA H100/Blackwell GPU TEEs over encrypted PCIe.
Who is locked out by the TEE?Cloud provider admins, the host OS/hypervisor and the external AI vendor.Internal root sysadmins, hypervisor operators and third-party model/agent developers.
Network & egress ruleVPC-peered zero-egress subnet; keys are released only after the attestation quote matches the contract.Strictly air-gapped: 0.0.0.0 outbound blocked. The local verifier checks the silicon signature offline.

Data stays in your tenant and region. No copy is made to Compex.

Module D · evidence bundle

The file your CISO and legal reviewer can check themselves.

A sector-specific, synthetic bundle. The contract hash, hardware attestation quote and ordered execution chain are all pre-loaded for inspection.

evidence.jsonsynthetic · 4 KB · sha256 f647c29d9c37…summary.pdfsynthetic · 7 KB · sha256 5d2a3bc0f6a3…audit.csvsynthetic · 2 KB · sha256 f4ae2a3e9da9…

Synthetic demo

No customer data is included. The bundle shows the exact shape a production run exports, including the refused operations.

EV-HLT-2026-11-001.jsonVerified

contract_hash

49d709b8d02fd899600ba8db35604ed07a6dc055f160e186d7069caf16350ffc

tee_attestation_quote

V/0QpUCTK/spbTYMvz6eomddRMCgrY48RCKeFiFbNyZX/RClQJMr+yltNgy/Pp6iZ11EwKCtjjxEIp4WIVs3Jg==

NVIDIA H100 Confidential Computing · GPU attestation report verified · report_data binds the contract hash and the diagnostic model digest

execution_hash_chain

  1. 001

    CONTRACTPipeline Contract PC-HLT-2026-11 verified against the DPO/clinical governance signature.

    ed2f8459e490cca1a900866f065fe90465c2c083a4d17f570b428ec2e2b239ea

  2. 002

    ATTESTNVIDIA H100 confidential-computing report verified; report_data binds the contract hash.

    ba51b2ff3ecc65939ba78d754511fa832f9f2dbe0fcd0328779726d8c510ef40

  3. 003

    READAllow-listed read: deidentified_lab_values, imaging_embeddings, cohort_id, encounter_type, age_band.

    77b4ef9eb4d408a8302339bcb515b4f62e8fae3420a9e5957c55c61e3371e597

  4. 004

    OUTPUTSigned output released: diagnosis_probability and cohort_count only.

    7ebf7eb966f8c65d4bfc983a31534c32e846bd03ab054a1fe17226a4c81d982b

  5. 005

    BLOCKEDOut-of-scope write refused: patient_mrn in intermediate weights.

    4824bf5741ab33c15af486d1db44a2dd3a979f98deeb74bd428ab8d1828cdc25

  6. 006

    BLOCKEDEgress blocked: pip install https://external.example/cohort-tools.

    5f37157a4f4789ecb8d9f59771265f7ff2acadcacd3f4f50b149a07b1cf57611

  7. 007

    SEALEDEvidence bundle sealed; hash chain head signed by the TEE.

    4c02f88fc29c10c3068a9ea3d422a774e8c497034469fb79a483cb8598dfacfa

Bring one clinical AI pilot.

We will run it inside the hospital's boundary and hand the DPO the bundle.

Or read the deployment docs.