Sovereign AI at the Front Door of Care: A Physically Unidirectional Architecture for Secure Clinical Intelligence

• URL: http://arxiv.org/abs/2603.24898v1
• Date: Thu, 26 Mar 2026 00:24:55 GMT
• Title: Sovereign AI at the Front Door of Care: A Physically Unidirectional Architecture for Secure Clinical Intelligence
• Abstract summary: We present a Sovereign AI architecture for clinical triage in which all inference is performed on-device and inbound data is delivered via a physically unidirectional channel.<n>This work positions physically unidirectional channels as a primitive for sovereign, on-device clinical intelligence at the front door of care.
• Score: 0.0
• License: http://creativecommons.org/licenses/by-nc-nd/4.0/
• Abstract: We present a Sovereign AI architecture for clinical triage in which all inference is performed on-device and inbound data is delivered via a physically unidirectional channel, implemented using receive-only broadcast infrastructure or certified hardware data diodes, with no return path to any external network. This design removes the network-mediated attack surface by construction, rather than attempting to secure it through software controls. The system performs conversational symptom intake, integrates device-captured vitals, and produces structured, triage-aligned clinical records at the point of care. We formalize the security properties of receiver-side unidirectionality and show that the architecture is transport-agnostic across broadcast and diode-enforced deployments. We further analyze threat models, enforcement mechanisms, and deployment configurations, demonstrating how physical one-way data flow enables high-assurance operation in both resource-constrained and high-risk environments. This work positions physically unidirectional channels as a foundational primitive for sovereign, on-device clinical intelligence at the front door of care.

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