Requirements
What the regulation expects

Mandatory for Abu Dhabi healthcare entities and providers
SA 3 Cryptographic Controls and CS 1 Cloud Security decide the key management architecture.
Encryption for stored and transmitted health data
SA 3.1 expects encryption within and outside the entity, with the same keys reaching clinical systems that hold the data.
Key lifecycle as platform behaviour
Activation, deactivation, revoke, backup, recover and replace are Pre-Active / Active / Deactivated / Compromised states, not procedure alone.
UAE hosting for cloud environments
CS 1.2 expects physical hosting in the UAE including backup and DR. That is a deployment commitment in the contract, not an automatic SaaS property.
Solutions
How DuoKey supports the framework
OpenBAO + DuoKey SD-HSM
On-premise or in-UAE vault (including air-gapped) with inventory showing the entity as key owner.
Learn moreMicrosoft 365 DKE
Double Key Encryption so the hosting provider does not hold the only usable key.
Learn moreCloud BYOK / external key store
Keys generated in the entity vault and referenced by the cloud service rather than held by it.
Learn moreKey themes
Where independent key control fits
Cryptographic and cloud demands below carry Transitional and Service Provider markings in the published standard. Confirm current grading with DoH for each engagement.
SA 3.1 Encryption and key lifecycle
Encrypt stored and transmitted information. Generate, share, protect, activate/deactivate, revoke, backup, recover, replace and monitor keys under enforced platform states.
CS 1.2 (4)(5) Encryption and key not from CSP
Data at rest and in transit encrypted. The key must not be provided by the CSP that hosts application, infrastructure and data. Provider-managed KMS cannot satisfy this.
CS 1.2 (7)(8) Entity-generated keys, CSP does not store or control
Keys generated in the entity vault and referenced by the cloud service. Vault can run on-premise inside the Emirates.
CS 1.2 (2) UAE hosting including backup and DR
On-premise or in-country deployment so the key management plane and its backups sit inside the Emirates. State this explicitly in the contract.
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