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Configure Customer Managed Keys for data encryption in healthcare agent service

healthcare agent service automatically encrypts all your data at rest, helping to meet your organizational security and compliance goals.

By default, healthcare agent service uses Microsoft-managed encryption keys. For other control over encryption keys, you can supplement default encryption with an other encryption layer using your own keys, which is called customer-managed keys (CMK).

Note

Your healthcare agent service resource must have been created after November 11, 2021 to use Customer Managed Keys.

Enable Customer Managed Keys

Follow the following steps to enable CMK:

1 - Create an Identity for healthcare agent service

  1. Sign in to Azure portal and create a new healthcare agent service, or open an existing healthcare agent service resource (provided it was created after November 11, 2021).

  2. Navigate to the Identity blade, and enable a System-assigned identity. Once the system assigned managed identity is enabled, the healthcare agent service resource is registered with Microsoft Entra ID.

2 - Enable soft-delete and purge protection in Key Vault

As a first step, make sure soft-delete and purge protection are enabled on the key vault. Due to the nature of encryption with customer-managed keys, no one can retrieve your data if your Azure Key vault key is deleted.

To prevent data loss caused by accidental Key Vault key deletions, soft-delete and purge protection must be enabled on the key vault. Soft-delete is enabled by default, so you'll only encounter issues if you purposely disabled it. Purge protection isn't enabled by default, but it's required for customer-managed key encryption in healthcare agent service.

  1. Sign in to Azure portal and open your key vault overview page.

  2. On the Overview page under Essentials, enable Soft-delete and Purge protection.

3 - Create a new key in Key Vault

Skip key generation if you already have a key in Azure Key Vault that you want to use, but collect the Key Name. You'll need this information when enabling CMK.

To learn how to add a key with the Azure portal, see Quickstart: Set and retrieve a key from Azure Key Vault using the Azure portal.

Four - Enable CMK in healthcare agent service

Next, configure your healthcare agent service to use customer-managed keys with Azure Key Vault, and specify the key to use.

  1. Navigate to the Encryption blade in your healthcare agent service resource. By default, key management is set to Microsoft Managed Keys, as shown in the following image.

  2. Select the Customer Managed Keys option.

  3. Choose the Select from Key Vault option.

  4. Select a key vault and key.

  5. Select the key vault containing the key you want to use.

  6. Select the key from the key vault.

    Enable CMK in healthcare agent service

  7. Save your changes.

Caution

Once CMK has been enabled, deleting the healthcare agent service resource will automatically revoke access to Key Vault and customer data will become inaccessible, as it could no longer be decrypted. This action cannot be undone. If you need to create a backup of your healthcare agent service, or export any data, make sure to do so before deleting your healthcare agent service resource.

Next steps

If you're unfamiliar with Azure security architecture, review the Azure Security documentation, and Data encryption-at-rest.