Violet teaming as a resilient framework for bridging civilian-military electronic health record interoperability

The rapid digitization of healthcare through electronic health records (EHRs) and artificial intelligence (AI) is transforming clinical decision-making, data integration, and healthcare delivery. However, increasing dependence on interconnected digital systems introduces significant cybersecurity, interoperability, ethical, and operational challenges that EHRs already face, further compounded by the operational complexity of military-civilian healthcare environments where information-sharing requirements are highly sensitive. AI-enabled systems intensify these concerns through opaque decision processes, extensive data demands, and expanding attack surfaces. This article introduces and applies an integrated cybersecurity framework that advances beyond traditional purple teaming by incorporating human factors, governance, ethical considerations, and operational continuity into resilience planning. The paper highlights how this approach can improve secure interoperability, identify systemic vulnerabilities earlier in the development and deployment lifecycle, and support more resilient military-civilian health data exchange architectures. The article further argues that resilience in digital healthcare systems cannot be achieved through technical safeguards alone but instead requires a sociotechnical framework that balances cybersecurity and clinical operations. Originally conceptualized in the context of the biotechnology governance, this paper extends violet teaming into the domain of military-civilian electronic health record interoperability through an illustrative vignette, demonstrating how the framework may support proactive resilience, governance, and cybersecurity integration within complex healthcare data ecosystems, ultimately mitigating risks to patient safety and human life.