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Implementing a Secure CI/CD Pipeline for Verifiable Trust in a Federated Health Data Network.
Alexander Kombeiz1, Emily Wedek1, Simon Hüning1
1Institute of Medical Informatics, Medical Faculty of RWTH Aachen, Aachen, Germany.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Software supply chain security is crucial for Federated Health Data Networks. A new secure CI/CD pipeline for the German AKTIN Data Warehouse generates verifiable artifacts, enhancing trust and identifying critical vulnerabilities.
Area of Science:
- Computer Science
- Health Informatics
- Cybersecurity
Background:
- Software supply chain attacks pose significant risks to the integrity and trustworthiness of Federated Health Data Networks.
- Establishing verifiable trust is paramount for secure data sharing in healthcare infrastructures.
Purpose of the Study:
- To design and evaluate a secure Continuous Integration/Continuous Deployment (CI/CD) pipeline for the German AKTIN Data Warehouse.
- To enable independent verification of software integrity within federated health data environments.
Main Methods:
- Implementation of a secure CI/CD pipeline generating digital signatures, Software Bill of Materials (SBOMs), and provenance attestations.
- Conducting a baseline assessment to evaluate the pipeline's effectiveness and identify software vulnerabilities.
Main Results:
- Successfully generated signatures, SBOMs, and provenance attestations for software components.
- Identified 264 high-severity vulnerabilities, predominantly within legacy software components.
- Demonstrated the pipeline's capability to produce essential security artifacts.
Conclusions:
- The developed secure CI/CD pipeline provides a transferable model for enhancing security in federated health infrastructures.
- The approach strengthens verifiable trust by enabling independent software integrity checks.
- Proactive vulnerability identification is key to mitigating risks in health data networks.
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