2603.00404 Clinical Interpretation as the Critical Last Mile in Fully Homomorphic Encryption-Based Disease Activity Scoring: A 14-Score Validation Across Rheumatic Diseases
We report the identification and resolution of a systemic gap in a Fully Homomorphic Encryption (FHE) clinical score platform serving 167 rheumatology scores. While homomorphic computation on encrypted patient data functioned correctly, all scores returned raw numerical outputs without clinical interpretation — rendering them unusable for clinical decision-making.