Engineering and Technology
| Open Access | Algorithmic Compliance and Trustworthy Generative Intelligence in Cloud-Native Health and Cyber-Physical Systems
Patrick E. Norwood , University of Zurich, SwitzerlandAbstract
The accelerating convergence of generative artificial intelligence, cloud-native machine learning operations, and regulatory governance is transforming how complex socio-technical systems are designed, deployed, and audited. Nowhere is this transformation more consequential than in highly regulated, data-intensive domains such as healthcare, cyber-physical infrastructure, and digital supply chains, where failures of accountability, privacy, or transparency produce not only economic harm but also direct risks to human life. While large language models and multimodal generative systems are increasingly embedded into operational decision pipelines, their integration into regulated environments remains theoretically underdeveloped and institutionally fragile. Existing scholarship has advanced powerful models, robust MLOps architectures, and sophisticated threat analyses, yet it has not produced a coherent framework that unifies algorithmic governance, auditability, and continuous compliance within production-scale artificial intelligence systems.
This article develops a comprehensive theory of algorithmic compliance grounded in the emerging paradigm of policy-as-code, operationalized through automated audit trails in machine learning pipelines. Drawing on the architecture and governance model introduced in HIPAA-as-Code: Automated Audit Trails in AWS SageMaker Pipelines (2025), the study treats regulatory obligations not as external constraints but as computational artifacts that co-evolve with model training, deployment, and inference. This approach is positioned within a broader landscape that includes large language model security, privacy-preserving learning, digital transformation theory, edge computing, and the infrastructural evolution toward 6G-enabled intelligent systems. By integrating insights from healthcare AI, cybersecurity, MLOps, and generative model governance, the paper establishes a unified conceptual foundation for trustworthy automation.
Methodologically, the research adopts a qualitative, systems-theoretic synthesis of interdisciplinary literature, drawing from cloud engineering, regulatory science, and artificial intelligence studies. The analysis reconstructs how compliance becomes fragile in dynamic model ecosystems, how auditability collapses under continuous deployment, and how generative models amplify both epistemic power and regulatory risk. The results demonstrate that only architectures that encode compliance directly into machine learning pipelines can sustain trust at scale, particularly when models learn, adapt, and interact autonomously. The discussion advances a new theory of algorithmic institutions in which regulatory rules, security controls, and ethical norms are embedded into executable systems rather than enforced after the fact.
The paper contributes a foundational framework for regulated generative intelligence, showing how HIPAA-as-Code represents not merely a healthcare innovation but a prototype for global AI governance. By extending this paradigm to edge computing, supply chains, and cyber-physical systems, the study offers a roadmap for constructing artificial intelligence infrastructures that remain lawful, transparent, and resilient even as they grow more autonomous and complex.
Keywords
Algorithmic governance, Generative artificial intelligence, MLOps, Regulatory compliance
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