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FENITH

Federated Learning in Dynamic and Heterogeneous Environments for European Digital Healthcare: From Theoretical Framework to Implementation in Italian Hospitals

PhD Thesis — Fabio Liberti · ORCID · Google Scholar


Overview

This repository serves as the central hub for the PhD research project on Federated Learning (FL) applied to the European Health Data Space (EHDS). It aggregates all research artifacts — experimental platforms, domain-specific applications, governance frameworks, foundational studies, published papers, and thesis documents — into a single, structured meta-repository.

Research Questions

  Question Cluster
RQ1 Technological Framework — How to design FL architectures capable of handling heterogeneity of hospital nodes? Platforms
RQ2 Multidimensional Governance — Which governance models balance innovation, compliance, and ethics? Governance
RQ3 Practical Adoption — What are the barriers and enablers for FL adoption in Italian hospitals? Applications
RQ4 EHDS Interoperability — How to integrate FL with HL7/FHIR, OMOP/OHDSI standards? Platforms · Governance

At a Glance

   
FL Algorithms 38 unique across 3 platforms
Datasets 35 total — benchmark, clinical imaging, healthcare
Publications 10 papers — 1 published (21 citations), 3 presented, 2 accepted, 4 submitted
Submodules 16 repositories (14 public + 2 private)
Frameworks TensorFlow, PyTorch, Flower, Flask, React

Repository Clusters

Platforms

Repository Description Stack
flopbg FL platform — Universitas Mercatorum & OPBG Python, TensorFlow, React
BLEKFL2 FL platform — BTH & Universitas Mercatorum Python, PyTorch, Flower
FL-EHDS-FLICS2026 FL + EHDS governance framework Python

Applications

Repository Description Domain
Questionnaire_FL FL adoption questionnaire — Italian hospitals Healthcare Adoption
CIDE OMOP/FHIR business models for EHDS Digital Health
CIDE2 XAI deepfake detection in telemedicine XAI
FedHR5.0 FL for HR Management in Industry 5.0 HR
CRISTAIN2025 FA-FedAvg for law enforcement Criminal Justice

Governance

Repository Description Focus
AI-DIGOSA Norms, ethics, and innovation tensions Ethics & Regulation
icsis2026 FL for territorial healthcare planning Health Policy
ICID2026 Three-layered FL architecture for EHDS Architecture

Foundations

Repository Description Type
DHFLPL2 Foundational paper — MDPI 2024 (21 citations) Seminal
DHFLPL Original published paper repo (v1) Legacy
Heterogeneous_FL Educational materials on heterogeneous FL Educational

Publications

Code Title Venue Year Status
P-M Federated Learning in Dynamic and Heterogeneous Environments MDPI Applied Sciences · DOI 2024 Published
P-IS FedHR5.0: Privacy-Preserving HR Management in Industry 5.0 ISM 2025 2025 Accepted
P-CR FA-FedAvg: Forensic-Aware Federated Averaging CRISTAIN 2025 2025 Accepted
P-C1 Business Models for European Digital Health Research Networks CIDE 2025 2025 Presented
P-C2 Explainable FL for Secure Telemedicine CIDE 2025 2025 Presented
P-IT AI Distribuita e Governance Sanitaria ITAIS 2025 2025 Presented
FLICS FL + EHDS Governance Framework FLICS 2026 — IEEE 2026 Submitted
ICSIS FL as Policy Data Infrastructure ICSIS 2026 2026 Submitted
ICID Three-Layered Reference Architecture for FL within EHDS ICID 2026 — Springer 2026 Submitted
IFKAD FedHR5.0: FL for Knowledge Asset Dynamics IFKAD 2026 2026 Submitted

Getting Started

git clone --recurse-submodules https://github.com/FabioLiberti/FENITH2.git
git submodule update --remote --merge

Citation

If you use this work, please cite:

Liberti, F.; Berardi, D.; Martini, B. Federated Learning in Dynamic and Heterogeneous Environments. Applied Sciences 2024, 14(18), 8490. DOI: 10.3390/app14188490


View full README on GitHub · www.fenith.org · License: CC BY-NC-SA 4.0