Healthcare

Verifiable trust infrastructure for healthcare

European healthcare is entering a decade of mandatory cross-border data exchange. Organisations that build verifiable trust infrastructure now will lead the transition -- not react to it.

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Healthcare faces three converging mandates: cross-border data exchange under EHDS, patient data portability under GDPR Article 20, and interoperability requirements through MyHealth@EU. Each requires verifiable trust at every organisational boundary. The infrastructure to meet these mandates exists today -- already processing over 800,000 verified messages per month across Swiss healthcare.

Regulatory drivers

EHDS

Mandatory cross-border health data exchange framework creating unified infrastructure requirements across EU member states.

27 EU member states in scope

Data Portability (GDPR Art 20 + EHDS Ch III)

Patient right to transfer health records between providers requires verifiable data provenance and integrity at every exchange point.

Over 440 million EU citizens covered

MyHealth@EU Interoperability

Cross-border interoperability mandate requiring participating nations to exchange patient summaries and ePrescriptions with verified trust.

25+ participating countries by 2025

Solution overview

Verifiable trust infrastructure for healthcare means every message exchanged between organisations carries cryptographic proof of origin, integrity, and authorisation -- without relying on a central trust authority. This is not a product feature. It is an architectural capability that sits between existing systems, making cross-institutional communication verifiable by design. The infrastructure handles organisational boundary trust, verified data exchange, and compliance attestation as a single integrated layer.

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Proven at scale

Healthcare proved the architecture at scale. HIN -- operator of Switzerland's health information network -- is replacing 25+ years of legacy S/MIME gateway infrastructure with Stargate. The migration is now rolling out across Swiss healthcare in 2026, processing over 800,000 verified messages per month through 850+ gateways serving 30,000+ GP offices and healthcare institutions.

HIN — Health Info Net

800,000+

verified messages per month

850+

gateways across Swiss healthcare

30,000+

GP offices and healthcare institutions

See the full HIN case study

This is not a pilot. It is a production migration that demonstrates operational efficiency gains, reduced infrastructure complexity, and a future-proof architecture for cross-border interoperability requirements.

Learn about our programme for healthcare organisations →

Reference architecture

Healthcare Providers Hospital EHR / HIS GP Office PMS / EMR Clinic PACS / LIS Verified Trust Infrastructure Gateway Mesh 850+ gateways Verify Provenance Compliance Message verification Provenance tracking Compliance attestation 800,000+ verified messages / month DKMS / Decentralised Key Management Receiving Parties Healthcare Provider EHR / HIS Regulatory Body EHDS / NCP MyHealth@EU Cross-border exchange Vereign AG -- Healthcare Trust Infrastructure Reference Architecture

Click to expand diagram

Healthcare Providers Hospital EHR / HIS GP Office PMS / EMR Clinic PACS / LIS Verified Trust Infrastructure Gateway Mesh 850+ gateways Verify Provenance Compliance Message verification Provenance tracking Compliance attestation 800,000+ verified messages / month DKMS / Decentralised Key Management Receiving Parties Healthcare Provider EHR / HIS Regulatory Body EHDS / NCP MyHealth@EU Cross-border exchange Vereign AG -- Healthcare Trust Infrastructure Reference Architecture

How to engage

Work with Vereign directly

For organisations that want to scope and deploy trust infrastructure with Vereign's engineering and advisory team. Ideal for first movers and organisations with in-house technical capacity.

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Work through a partner

For organisations that prefer to work with a consultancy already trained on Vereign's trust infrastructure. Partners provide sector expertise alongside deployment capability.

See the partner programme →

What practitioners say

Health data does not move within a single organisation -- it flows between hospitals, laboratories, practices, and insurers. Interoperability based on open standards is not a technical preference, it is an operational necessity. What convinces me about the Stargate architecture: it does not force existing systems to restructure, but makes the proof of trust verifiable at every organisational boundary -- using open protocols that no single vendor controls.

Hans de Raad Hans de Raad CEO, OpenNovations

Digital health does not fail because of lack of technology, it fails because of lack of trust infrastructure. What Vereign demonstrates in Switzerland is that trust can be operationalised: secure, verifiable and scalable across institutions without compromising control. This is not a concept, it is already a production reality. For ecosystems like Bulgaria, the question is no longer if we need this architecture, but how fast we can adopt it to move from fragmented innovation to coordinated, scalable impact across healthcare systems.

Mira Ganova Mira Ganova CEO, DHI Cluster Bulgaria

Scope a trust infrastructure deployment for healthcare

Whether you are evaluating regulatory readiness or planning a deployment, we can help you define the right architecture for your healthcare organisation.

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