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

Vasu Srinivasan; Dhriti Vasu

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arXiv · 2603.24898

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

Vasu Srinivasan·Dhriti Vasu

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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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Vasu Srinivasan, Dhriti Vasu. 2026-03-26. Sovereign AI at the Front Door of Care: A Physically Unidirectional Architecture for Secure Clinical Intelligence. https://arxiv.org/abs/2603.24898

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