November 28, 2025

Privacy Preserving Health Data Infrastructure: Compliance and Collaboration

National healthcare systems are rapidly building digital exchanges and integrated data platforms.

National healthcare systems are rapidly building digital exchanges and integrated data platforms. At the same time, privacy regulation, data sovereignty requirements, and institutional governance are becoming stricter. Many countries require that identifiable health information remains within national or local boundaries, including the United Arab Emirates.

This creates a challenge. Institutions want to enable collaboration, research, and AI innovation, but cannot export raw data or allow broad access to sensitive information.

The Limits of Record Level Interoperability

Health information exchanges successfully unify record level data across facilities. They provide longitudinal patient views and support public health monitoring. However, these platforms usually do not provide

  • Interaction level granularity
  • Cryptographically verified data provenance
  • Privacy preserving collaboration for AI or research

Institutions need a higher level of assurance, especially when multiple parties are involved.

Zero Knowledge as the Bridge Between Privacy and Innovation

Zero Knowledge proofs make it possible to verify compliance, correctness, or event validity without revealing any underlying patient data.
Source: https://www.meegle.com/en_us/topics/zero knowledge proofs/zero knowledge proof for healthcare providers

A privacy preserving architecture based on Zero Knowledge functionality allows institutions to

  • Keep full custody of all raw health data
  • Generate proofs of events, lineage, and compliance
  • Share only evidence, not data
  • Collaborate with researchers, regulators, and AI labs without exposing sensitive information

This is a fundamental shift from data sharing to evidence sharing.

Real World Evidence Without Exposure

Using cryptographic techniques, institutions can support

  • Clinical research
  • Public health surveillance
  • Quality improvement
  • AI development and evaluation
  • Regulatory audits

All without transferring or revealing protected health information.

A Reference Model for Responsible Health AI

Health systems that combine strong data localisation laws with privacy preserving cryptography and existing health information exchanges can create a global reference architecture for trusted healthcare AI. This approach supports institutional control, regulatory alignment, and safe innovation.

References

Real World Data and Evidence: https://www.mdpi.com/2306 5354/11/8/784
Ethical AI and Privacy Enhancing Technology: https://www.mdpi.com/2306 5354/12/11/1236
Zero Knowledge Proofs in Healthcare: https://www.sciencedirect.com/science/article/pii/S2214212623002624
Challenges of Using Routine Health Data: https://bmjopenquality.bmj.com/content/11/1/e001491

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