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Healthcare Sector

Cybersecurity for healthcare that cannot stop

Clinical systems, IoMT devices and patient data protected 24x7x365 from two active centers, with controls aligned with Brazil’s LGPD (General Data Protection Law).

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In short: Vortex Security protects hospitals, clinics and laboratories with 24x7x365 monitoring by the Cyber Defense Center, the Vortex Converged NG-SOC (NG-SOC Convergente), medical device and IoMT protection, identity and access management and incident response, in line with Brazil’s LGPD and the sector’s regulations.

The challenge

Cybersecurity for the Healthcare Sector

Digitalization has expanded the attack surface of hospitals, clinics and laboratories: electronic health records, diagnostic systems, IoMT devices and hybrid infrastructures now operate interdependently. Legacy technologies, continuous operation and a shortage of specialized teams make cyber protection a strategic challenge for the sector.

The risks facing the healthcare sector

  1. Disruption to patient care
  2. System unavailability
  3. Sensitive data leakage
  4. Most severe Direct risk to human safety and life

The healthcare sector as a target of cyberattacks

The healthcare sector is now one of the most targeted by hackers in the world, less because of advancing digitalization and more because of the criticality of the operations involved.

  1. Attack

    Hospitals, clinics and laboratories are among the main targets of cybercrime.

  2. Systems unavailable

    The outage of critical systems and patient data can put lives at risk.

  3. Care interrupted

    Exams, surgeries and treatments stop, and patient safety is compromised.

  4. Pressure and extortion

    The urgency for immediate resolution opens the door to prolonged shutdowns and extortion.

The impact goes beyond financial losses: it undermines trust in the institution and the delivery of essential services.

Standards and regulation

Regulatory context and compliance in the healthcare sector

In this highly regulated environment, cybersecurity is no longer just a technology issue and has become a fundamental requirement for the compliance, governance and sustainability of healthcare organizations.

Standard or bodyWhat it requires or assesses
LGPD (General Data Protection Law)Specific rules for processing sensitive personal data, such as health information, with robust technical and administrative controls to prevent incidents
ANPD (National Data Protection Authority)Enforces compliance with the LGPD and applies sanctions in cases of non-compliance
ANVISA (Brazilian Health Regulatory Agency)Standards that guide the safe use of medical technologies, systems and devices
CFM (Federal Council of Medicine)Guidelines from the Federal Council of Medicine, including Resolução CFM nº 2.454/2026, which regulates the use of artificial intelligence in medicine
ONA (National Accreditation Organization)Certification that assesses quality, safety and risk management in healthcare institutions, which reinforces information protection and operational continuity
Health plan operators and partnersContractual security requirements
ISO standardsGovernance and information security best practices applicable to the sector
AI in medicine

Resolução CFM nº 2.454/2026: the rules for using AI in medicine

Published in the Diário Oficial da União, Brazil’s official gazette, on February 27, 2026, the resolution regulates the research, development, governance, auditing, monitoring, training and use of artificial intelligence in medicine. It came into force 180 days later and also applies to systems that were already in use or under development at medical institutions (text in the Diário Oficial (PT)).

Healthcare institutions

Risk assessed, governance and auditing

  • Preliminary assessment of the risk level of each AI system: low, medium or high, described in Annex II, or unacceptable, which the text mentions without describing (arts. 12 and 13)
  • Internal governance processes for whoever develops or contracts AI, institution or physician (art. 14), and, for those adopting their own systems, an AI and Telemedicine Committee reporting to the technical directorate (art. 14, sole paragraph)
  • Continuous specialized auditing and monitoring mechanisms (art. 9, § 2)
  • Data, models and environments protected against destruction, loss, alteration, unauthorized access and leakage, with measures compatible with the state of the art; the text does not say who must comply (art. 17)
  • Data processed in accordance with general personal data protection and health information security standards; the text does not say who must comply (art. 16, as corrected on March 5, 2026)
Physicians

AI supports; the physician decides

  • AI is a support tool, and the physician remains responsible for clinical, diagnostic, therapeutic and prognostic decisions (art. 4, I)
  • The use of AI as decision support is recorded in the medical record (art. 4, V)
  • Delegating to AI the communication of diagnoses, prognoses or therapeutic decisions without human mediation is prohibited (art. 5, § 2)
  • Using AI systems without minimum information security standards compatible with sensitive data is prohibited (art. 6, § 3)
Patients

Information, choice and privacy

  • To be clearly informed when AI provides relevant support in care, diagnosis or treatment (art. 5, § 1)
  • To refuse, in an informed way, the use of AI (art. 5, § 3)
  • Privacy and confidentiality of personal data (art. 10)

The guide to Resolução CFM nº 2.454/2026 (PT) details each point, with the article and a checklist for physicians and institutions. For the security, auditing and monitoring requirements, Vortex provides the 24x7x365 monitoring of the Cyber Defense Center and the AI governance and security of Vortex AI Journey.

How to protect the healthcare sector?

Protecting healthcare environments requires a coordinated set of measures that combine technology, processes and people to reduce risk and ensure continuity of patient care.

    • Asset visibility and inventory

      Mapping and maintaining complete visibility of systems, applications, medical devices, IoMT and integrations is the starting point for any effective security strategy.

    • Vulnerability and risk management

      Continuously identifying, prioritizing and addressing vulnerabilities, considering the clinical and operational criticality of each asset.

    • Medical device and IoMT protection

      Applying specific controls for connected equipment, with network segmentation, dedicated monitoring and policies compatible with clinical environments.

    • Identity and access management

      Controlling access by professionals, third parties and systems, ensuring the principle of least privilege and reducing internal and external risks.

    • Cloud security

      Protecting applications, data and access in cloud environments and in integrations with health plan operators, laboratories, partners and third-party systems.

    • Awareness and the human factor

      Training clinical and administrative teams to reduce human error and strengthen people as an active layer of defense.

  1. Detect and respond

    Journey: Detect and Respond
    • Continuous monitoring and threat detection

      Tracking security events in real time to identify anomalous behavior and act quickly before incidents escalate.

    • Incident response and recovery

      Establishing clear response, containment and recovery plans to minimize impact, reduce downtime and preserve continuity of care.

When implemented in an integrated way, these actions allow healthcare organizations to raise their cybersecurity maturity, protect critical data and systems and ensure that technology continues to support care, with security, trust and continuity.

Frequently asked questions

Which regulations apply to cybersecurity in the healthcare sector?

Brazil’s LGPD (General Data Protection Law) treats health information as sensitive personal data and requires technical and administrative controls to prevent incidents; the ANPD, the national data protection authority, enforces it and applies sanctions. On top of that come the standards of ANVISA, the health regulatory agency, for medical technologies, systems and devices, the guidelines of the CFM (Federal Council of Medicine), contractual requirements with health plan operators and partners, applicable ISO standards and ONA certification.

What does the LGPD require in healthcare?

Under the LGPD (PT), Brazil’s General Data Protection Law, health data is sensitive personal data (art. 5, II) and may only be processed in the cases set out in art. 11: with the data subject’s specific and highlighted consent or, without it, when indispensable, for example, to comply with a legal or regulatory obligation, for studies by a research body or for the protection of health, in a procedure performed by health professionals, health services or a health authority. The law prohibits controllers from sharing health data to obtain economic advantage, except in cases such as the provision of health services for the benefit of data subjects (art. 11, § 4), and forbids health plan operators from using this data for risk selection (art. 11, § 5). The institution must also adopt technical and administrative security measures (art. 46) and notify the ANPD and the data subjects of any incident that may cause relevant risk or harm (art. 48). Vortex supports LGPD compliance through its consulting and is ISO/IEC 27701 certified, for privacy management.

What does Resolução CFM nº 2.454/2026 change in the use of AI in healthcare?

The resolution of the Federal Council of Medicine regulates the use of artificial intelligence in medicine, has been in force since August 2026, 180 days after publication, and also applies to systems that were already in use or under development at medical institutions. Institutions must assess the risk level of each AI system (low, medium or high, described in Annex II, or unacceptable), maintain continuous governance, specialized auditing and monitoring, protect data, models and environments against loss, alteration, unauthorized access and leakage, and process data in accordance with general personal data protection (art. 16, as corrected on March 5, 2026). The physician remains responsible for decisions, records the use of AI as support in the medical record and may not use systems without minimum information security standards compatible with sensitive data.

How does Vortex support the safe use of AI in healthcare institutions?

With Vortex AI Journey, where the recommended starting point is the AI Journey Assessment, of maturity in AI governance and security, with references such as ISO/IEC 42001, the OWASP Top 10 for LLM Applications and MITRE ATLAS. Protection can include discovering and controlling shadow AI, preventing leakage of sensitive data in prompts, uploads and integrations with generative AI, and classifying sensitive data, with a focus on the LGPD. Telemetry from AI security solutions can be integrated into the Cyber Defense Center, the Vortex NG-SOC Convergente, which operates 24x7x365.

Why is the healthcare sector so targeted by attacks?

Because of the criticality of its operations. System unavailability interrupts care, exams, surgeries and treatments and can put lives at risk, which makes the sector especially vulnerable to prolonged shutdowns and extortion. In addition, health information is sensitive personal data under the LGPD, and the leakage of this data is one of the sector’s risks.

How do you protect patient data against leakage?

With layers that add up: discovery and classification of sensitive data, data loss prevention (DLP) across network, endpoint and cloud, including in generative AI tools, and identity and access management with the principle of least privilege. Vortex itself is ISO/IEC 27701 certified, for privacy management.

How do you protect medical devices and IoMT?

Starting with visibility: mapping connected equipment, its communication flows and its operational particularities, with agents, sensors and connectors integrated with the technologies the institution already uses. On top of this inventory come network segmentation, dedicated monitoring, policies compatible with clinical environments and vulnerability management that considers the clinical and operational criticality of each asset.

How does Vortex detect improper access and abnormal use of credentials?

With the behavioral analytics (UEBA) of the Cyber Defense Center, the Vortex NG-SOC Convergente. The platform learns the normal behavior of users, devices and services and flags deviations such as atypical access, lateral movement, anomalous use of credentials, data exfiltration and abuse of privileged accounts. It is an effective layer against insider threats and attacks with legitimate credentials, which controls based solely on signatures or rules cannot see.

How does Vortex speed up the response to an attack?

Through automation: alerts arrive enriched with threat intelligence, and triage, containment and mitigation are orchestrated by playbooks approved by the institution, from a library of more than 3,000, which reduces response time (MTTR) in environments where time is critical. Whatever is not resolved automatically goes to the Vortex incident response team, which conducts the analysis, containment, eradication and recovery support. When several teams need to act together, Vortex opens a virtual war room, which stays open 24 hours a day.

Does Vortex hold security and privacy certifications?

Yes. Vortex is certified to ISO/IEC 27001 (information security), ISO/IEC 27701 (information privacy) and ISO 22301 (business continuity). With 27001 and 27701, Vortex’s own processes and the handling of client information follow international security and privacy standards, which matters to anyone dealing with patient data.

Does Vortex have a case in the healthcare sector?

Yes. In healthcare, Vortex serves Assim Saúde, Central Nacional Unimed and the Instituto de Tecnologia em Imunobiológicos Bio-Manguinhos. The Bio-Manguinhos case is published: the institute is served by the Vortex 24x7x365 SOC, with SOAR and vulnerability management; the first technologies were deployed in 40 days, ahead of the 60-day deadline, and an attack suffered in 2023 was contained. See the case.

Security for critical healthcare environments requires specialization

Vortex Security works side by side with healthcare organizations that cannot fail, with a risk-driven approach, aligned with Brazilian regulatory requirements and built for hospitals, clinics and laboratories that operate 24x7. Talk to our experts and find out how to strengthen the cybersecurity of your healthcare operation.

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