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Privacy-First Medical Analytics with AWS Middleware

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Privacy-First Medical Analytics with AWS Middleware
January 28, 2026 by

Privacy-First Medical Analytics with AWS Middleware

Here’s a refined architecture based on your vision — integrating AWS as a cloud middleware layer, while keeping Sub-Lex-2 encryption in place for any PII or sensitive user data, ensuring that no identifiable data is ever exposed to the AI layer.

 

 

 

 

 

 

+———————-+
| Wearables / HealthKit / EMR APIs |
+———————-+
│
[On-Device Health Journal App] │
┌────────────────┴──────────────┐
│ Sub-Lex-2 Encryption Engine │ <– Encrypts PII and sensitive data
└────────────────┬──────────────┘
│
(Only encoded/anonymized data moves)
▼
[AWS Cloud Middleware] │
┌──────────────┬────────────────────────┬───────────────┐
│ S3 (Object) │ Lambda / API Gateway │ DynamoDB │
└──────────────┴────────────────────────┴───────────────┘
│
▼
[AI Health Analytics Layer] (OpenAI, Claude, Mistral, Local LLM, etc.)

 

Workflow Example

  1. Device collects data from HealthKit, Oura, etc.

  2. Encrypts with Sub-Lex-2:

    • User’s data table + drift seed

    • Optional: role-specific result table (e.g. for provider access)

     

  3. App sends encrypted stream to AWS API Gateway

    • Separates AI-readable summary from protected payload

    • Forwards AI-safe summary to selected AI health provider

      Lambda unpacks:

  4. AI response is returned to AWS

  5. Encrypted insight is relayed back to user device

  6. User unlocks response locally via their own table and seed

 

AI + Human Hybrid Flow

  1. Patient reviews daily summary

  2. App prompts: “Do you want a provider to review this?”

  3. Patient selects telehealth provider (or system auto-selects by region/symptom)

    • AI-prepared summary

    • Encrypted markers (blood glucose spike, HRV decline, mood notes)

      Provider gets:

    • Message (“monitor for 48h”)

    • Or initiate secure video call

      Provider replies:

 Real-Time Features (extensions)

  • Secure video/voice layer: Use WebRTC with Sub-Lex-2 encrypted call ID

  • Live journaling during call: Provider writes structured notes

  • Offline sync: If patient is offline, provider still receives encoded payload later

 

 

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