1. Overview of Secure Inter-Service Communication

In a healthcare microservices architecture, services communicate with each other over the network — and the network is never trustworthy. Even within the internal network, attackers can:
- Eavesdrop: Read PHI data between services (man-in-the-middle)
- Impersonate: Impersonate the service to receive data
- Tamper: Modify request/response between services
- Lateral movement: From one compromised service, access another service
mTLS and Service Mesh solve all of the above problems.
1.1. Defense-in-Depth for Inter-Service Communication

5 layers of protection:
- Layer 1: Network Policies (Kubernetes) — Namespace isolation, pod-to-pod firewall, egress restrictions
- Layer 2: mTLS (Istio) — Auto certificate provisioning, 24h rotation, mutual authentication
- Layer 3: Authorization Policies (Istio) — Service-to-service ACL, path-based, JWT claim-based
- Layer 4: Application Security (Quarkus) — JWT validation, RBAC, business logic authorization
- Layer 5: Payload Encryption (JWE) — Field-level encryption, end-to-end encryption
1.2. mTLS vs One-Way TLS

| One-Way TLS | Mutual TLS (mTLS) | |
|---|---|---|
| Client verification server | ✓ | ✓ |
| Server verify client | ✗ | ✓ |
| Connect | Any client can connect | Both are authenticated |
| Transmission channel | Encrypted | Encrypted + verified |
2. mTLS Configuration in Quarkus
2.1. Quarkus mTLS Server Configuration
# application.properties - Quarkus mTLS Server
# === TLS Server Configuration ===
quarkus.http.ssl.certificate.key-store-file=classpath:server-keystore.p12
quarkus.http.ssl.certificate.key-store-password=${KEYSTORE_PASSWORD}
quarkus.http.ssl.certificate.key-store-file-type=PKCS12
# === Client Certificate Verification (mTLS) ===
quarkus.http.ssl.client-auth=required
# Options: none (no mTLS), request (optional), required (mandatory)
# Trust store - chứa CA certificates được trust
quarkus.http.ssl.certificate.trust-store-file=classpath:server-truststore.p12
quarkus.http.ssl.certificate.trust-store-password=${TRUSTSTORE_PASSWORD}
# === TLS Protocol Configuration ===
quarkus.http.ssl.protocols=TLSv1.3,TLSv1.2
quarkus.http.ssl.cipher-suites=\
TLS_AES_256_GCM_SHA384,\
TLS_AES_128_GCM_SHA256,\
TLS_CHACHA20_POLY1305_SHA256
# === HTTPS Only ===
quarkus.http.insecure-requests=disabled
quarkus.http.ssl-port=8443
2.2. Certificate Generation Script
#!/bin/bash
# generate-mtls-certs.sh
# Tạo CA và certificates cho mTLS giữa microservices
set -euo pipefail
CERT_DIR="./certs"
CA_PASSWORD="ca-password-change-me"
VALIDITY_DAYS=365
mkdir -p "$CERT_DIR"
# === 1. Create Root CA ===
echo "=== Creating Root CA ==="
openssl req -x509 -newkey rsa:4096 \
-keyout "$CERT_DIR/ca-key.pem" \
-out "$CERT_DIR/ca-cert.pem" \
-days $VALIDITY_DAYS \
-subj "/O=Hospital Internal/CN=Healthcare CA" \
-passout "pass:$CA_PASSWORD"
# === 2. Create Service Certificates ===
create_service_cert() {
local SERVICE_NAME=$1
local DNS_NAMES=$2
echo "=== Creating cert for $SERVICE_NAME ==="
# Generate key + CSR
openssl req -newkey rsa:2048 -nodes \
-keyout "$CERT_DIR/${SERVICE_NAME}-key.pem" \
-out "$CERT_DIR/${SERVICE_NAME}.csr" \
-subj "/O=Hospital Internal/CN=${SERVICE_NAME}"
# Create extensions file for SAN
cat > "$CERT_DIR/${SERVICE_NAME}-ext.cnf" << EOF
authorityKeyIdentifier=keyid,issuer
basicConstraints=CA:FALSE
keyUsage = digitalSignature, keyEncipherment
extendedKeyUsage = serverAuth, clientAuth
subjectAltName = $DNS_NAMES
EOF
# Sign with CA
openssl x509 -req \
-in "$CERT_DIR/${SERVICE_NAME}.csr" \
-CA "$CERT_DIR/ca-cert.pem" \
-CAkey "$CERT_DIR/ca-key.pem" \
-CAcreateserial \
-out "$CERT_DIR/${SERVICE_NAME}-cert.pem" \
-days $VALIDITY_DAYS \
-extfile "$CERT_DIR/${SERVICE_NAME}-ext.cnf" \
-passin "pass:$CA_PASSWORD"
# Create PKCS12 keystore (for Quarkus)
openssl pkcs12 -export \
-in "$CERT_DIR/${SERVICE_NAME}-cert.pem" \
-inkey "$CERT_DIR/${SERVICE_NAME}-key.pem" \
-certfile "$CERT_DIR/ca-cert.pem" \
-out "$CERT_DIR/${SERVICE_NAME}-keystore.p12" \
-name "$SERVICE_NAME" \
-passout "pass:${SERVICE_NAME}-ks-password"
echo " Created $CERT_DIR/${SERVICE_NAME}-keystore.p12"
}
# Create certs for each microservice
create_service_cert "patient-service" \
"DNS:patient-service,DNS:patient-service.healthcare.svc.cluster.local,DNS:localhost"
create_service_cert "lab-service" \
"DNS:lab-service,DNS:lab-service.healthcare.svc.cluster.local,DNS:localhost"
create_service_cert "pharmacy-service" \
"DNS:pharmacy-service,DNS:pharmacy-service.healthcare.svc.cluster.local,DNS:localhost"
create_service_cert "api-gateway" \
"DNS:api-gateway,DNS:api.hospital.internal,DNS:localhost"
# === 3. Create Trust Store (chứa CA cert) ===
keytool -importcert -alias healthcare-ca \
-file "$CERT_DIR/ca-cert.pem" \
-keystore "$CERT_DIR/truststore.p12" \
-storetype PKCS12 \
-storepass "truststore-password" \
-noprompt
echo ""
echo "=== Certificates created successfully ==="
echo "CA cert: $CERT_DIR/ca-cert.pem"
echo "Trust store: $CERT_DIR/truststore.p12"
2.3. Quarkus REST Client with mTLS
package vn.hospital.client;
import jakarta.ws.rs.*;
import jakarta.ws.rs.core.MediaType;
import org.eclipse.microprofile.rest.client.inject.RegisterRestClient;
import java.util.List;
import java.util.UUID;
@RegisterRestClient(configKey = "lab-service")
@Path("/api/v1/lab-results")
@Produces(MediaType.APPLICATION_JSON)
@Consumes(MediaType.APPLICATION_JSON)
public interface LabServiceClient {
@GET
@Path("/patient/{patientId}")
List<LabResultDTO> getByPatient(@PathParam("patientId") UUID patientId);
}
# REST Client mTLS Configuration
quarkus.rest-client.lab-service.url=https://lab-service.healthcare.svc.cluster.local:8443
# Client certificate (mTLS - prove our identity)
quarkus.rest-client.lab-service.key-store=classpath:patient-service-keystore.p12
quarkus.rest-client.lab-service.key-store-password=${PATIENT_KS_PASSWORD}
# Trust store (verify server certificate)
quarkus.rest-client.lab-service.trust-store=classpath:truststore.p12
quarkus.rest-client.lab-service.trust-store-password=${TRUSTSTORE_PASSWORD}
# Hostname verification
quarkus.rest-client.lab-service.hostname-verifier=DEFAULT
3. Certificate Management with cert-manager
3.1. cert-manager Installation
# Install cert-manager trên Kubernetes
kubectl apply -f https://github.com/cert-manager/cert-manager/releases/download/v1.14.0/cert-manager.yaml
# Verify installation
kubectl get pods -n cert-manager
kubectl get crd | grep cert-manager
3.2. Internal CA Issuer
# cert-manager/internal-ca-issuer.yaml
# Secret chứa CA key pair
apiVersion: v1
kind: Secret
metadata:
name: healthcare-ca-key-pair
namespace: cert-manager
type: kubernetes.io/tls
data:
tls.crt: <base64-encoded-ca-cert>
tls.key: <base64-encoded-ca-key>
---
# ClusterIssuer sử dụng internal CA
apiVersion: cert-manager.io/v1
kind: ClusterIssuer
metadata:
name: healthcare-internal-ca
spec:
ca:
secretName: healthcare-ca-key-pair
---
# Let's Encrypt cho external-facing services
apiVersion: cert-manager.io/v1
kind: ClusterIssuer
metadata:
name: letsencrypt-prod
spec:
acme:
server: https://acme-v02.api.letsencrypt.org/directory
email: [email protected]
privateKeySecretRef:
name: letsencrypt-prod-account
solvers:
- http01:
ingress:
class: nginx
3.3. Service Certificate
# cert-manager/patient-service-cert.yaml
apiVersion: cert-manager.io/v1
kind: Certificate
metadata:
name: patient-service-tls
namespace: healthcare
spec:
secretName: patient-service-tls-secret
duration: 720h # 30 days
renewBefore: 168h # Renew 7 days before expiry
isCA: false
privateKey:
algorithm: RSA
size: 2048
usages:
- server auth
- client auth # Important for mTLS
dnsNames:
- patient-service
- patient-service.healthcare
- patient-service.healthcare.svc
- patient-service.healthcare.svc.cluster.local
issuerRef:
name: healthcare-internal-ca
kind: ClusterIssuer
group: cert-manager.io
3.4. Kubernetes Deployment with cert-manager Certificates
# k8s/patient-service-deployment.yaml
apiVersion: apps/v1
kind: Deployment
metadata:
name: patient-service
namespace: healthcare
labels:
app: patient-service
version: v1
spec:
replicas: 3
selector:
matchLabels:
app: patient-service
template:
metadata:
labels:
app: patient-service
version: v1
spec:
serviceAccountName: patient-service-sa
containers:
- name: patient-service
image: hospital.internal/patient-service:1.0.0
ports:
- containerPort: 8443
name: https
volumeMounts:
- name: tls-certs
mountPath: /etc/tls
readOnly: true
- name: truststore
mountPath: /etc/truststore
readOnly: true
env:
- name: QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_FILE
value: /etc/tls/keystore.p12
- name: QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_PASSWORD
valueFrom:
secretKeyRef:
name: patient-service-tls-password
key: password
- name: QUARKUS_HTTP_SSL_CERTIFICATE_TRUST_STORE_FILE
value: /etc/truststore/truststore.p12
resources:
requests:
memory: "512Mi"
cpu: "250m"
limits:
memory: "1Gi"
cpu: "1000m"
livenessProbe:
httpGet:
path: /q/health/live
port: 8443
scheme: HTTPS
initialDelaySeconds: 30
readinessProbe:
httpGet:
path: /q/health/ready
port: 8443
scheme: HTTPS
initialDelaySeconds: 10
volumes:
- name: tls-certs
secret:
secretName: patient-service-tls-secret
- name: truststore
secret:
secretName: healthcare-truststore
4. Istio Service Mesh for Healthcare
4.1. Istio Installation
# Install Istio with "strict" mTLS profile
istioctl install --set profile=default \
--set meshConfig.defaultConfig.holdApplicationUntilProxyStarts=true \
--set values.global.mtls.auto=true
# Enable sidecar injection cho healthcare namespace
kubectl label namespace healthcare istio-injection=enabled
# Verify
kubectl get pods -n istio-system
istioctl analyze -n healthcare
4.2. Istio Architecture with Healthcare Services

Architecture:
- istio-system: istiod control plane (Citadel CA, Pilot config, Telemetry)
- healthcare namespace: Pods with Envoy sidecar proxies
- Patient Service + Envoy (mTLS, auth policy, telemetry)
- Lab Service + Envoy
- All traffic between services goes through Envoy → automatic mTLS encryption
4.3. PeerAuthentication - STRICT mTLS
# istio/peer-authentication.yaml
# Namespace-level: STRICT mTLS cho toàn bộ healthcare namespace
apiVersion: security.istio.io/v1
kind: PeerAuthentication
metadata:
name: healthcare-strict-mtls
namespace: healthcare
spec:
mtls:
mode: STRICT # STRICT = bắt buộc mTLS, từ chối plaintext
---
# Mesh-level: Default STRICT cho toàn cluster
apiVersion: security.istio.io/v1
kind: PeerAuthentication
metadata:
name: default
namespace: istio-system
spec:
mtls:
mode: STRICT
---
# Exception: cho health check endpoints từ Kubernetes
apiVersion: security.istio.io/v1
kind: PeerAuthentication
metadata:
name: patient-service-health
namespace: healthcare
spec:
selector:
matchLabels:
app: patient-service
mtls:
mode: STRICT
portLevelMtls:
8080:
mode: PERMISSIVE # Health check port cho kubelet
4.4. AuthorizationPolicy - Service-to-Service Access Control
# istio/authorization-policies.yaml
# === Default Deny All ===
apiVersion: security.istio.io/v1
kind: AuthorizationPolicy
metadata:
name: deny-all
namespace: healthcare
spec:
{} # Empty spec = deny all
---
# === Patient Service: cho phép Gateway + Lab Service ===
apiVersion: security.istio.io/v1
kind: AuthorizationPolicy
metadata:
name: patient-service-policy
namespace: healthcare
spec:
selector:
matchLabels:
app: patient-service
action: ALLOW
rules:
# Rule 1: API Gateway có thể gọi tất cả endpoints
- from:
- source:
principals:
- "cluster.local/ns/healthcare/sa/api-gateway-sa"
to:
- operation:
methods: ["GET", "POST", "PUT", "DELETE"]
paths: ["/api/v1/*"]
# Rule 2: Lab Service chỉ được gọi patient lookup
- from:
- source:
principals:
- "cluster.local/ns/healthcare/sa/lab-service-sa"
to:
- operation:
methods: ["GET"]
paths: ["/api/v1/patients/*"]
# Rule 3: Health checks từ Kubernetes
- from:
- source:
namespaces: ["kube-system"]
to:
- operation:
methods: ["GET"]
paths: ["/q/health/*"]
---
# === Lab Service: chỉ Patient Service + Gateway ===
apiVersion: security.istio.io/v1
kind: AuthorizationPolicy
metadata:
name: lab-service-policy
namespace: healthcare
spec:
selector:
matchLabels:
app: lab-service
action: ALLOW
rules:
- from:
- source:
principals:
- "cluster.local/ns/healthcare/sa/api-gateway-sa"
- "cluster.local/ns/healthcare/sa/patient-service-sa"
to:
- operation:
methods: ["GET", "POST"]
paths: ["/api/v1/lab-results/*"]
---
# === Pharmacy Service: chỉ Gateway + Patient Service ===
apiVersion: security.istio.io/v1
kind: AuthorizationPolicy
metadata:
name: pharmacy-service-policy
namespace: healthcare
spec:
selector:
matchLabels:
app: pharmacy-service
action: ALLOW
rules:
- from:
- source:
principals:
- "cluster.local/ns/healthcare/sa/api-gateway-sa"
- "cluster.local/ns/healthcare/sa/patient-service-sa"
to:
- operation:
methods: ["GET", "POST"]
paths: ["/api/v1/prescriptions/*"]
---
# === Database: chỉ services trong healthcare namespace ===
apiVersion: security.istio.io/v1
kind: AuthorizationPolicy
metadata:
name: database-policy
namespace: healthcare
spec:
selector:
matchLabels:
app: postgresql
action: ALLOW
rules:
- from:
- source:
namespaces: ["healthcare"]
principals:
- "cluster.local/ns/healthcare/sa/patient-service-sa"
- "cluster.local/ns/healthcare/sa/lab-service-sa"
- "cluster.local/ns/healthcare/sa/pharmacy-service-sa"
to:
- operation:
ports: ["5432"]
5. Istio Traffic Management for Healthcare
5.1. Circuit Breaker
# istio/destination-rules.yaml
apiVersion: networking.istio.io/v1beta1
kind: DestinationRule
metadata:
name: patient-service-dr
namespace: healthcare
spec:
host: patient-service.healthcare.svc.cluster.local
trafficPolicy:
# mTLS settings
tls:
mode: ISTIO_MUTUAL
# Connection pool
connectionPool:
tcp:
maxConnections: 100
connectTimeout: 5s
http:
h2UpgradePolicy: DEFAULT
http1MaxPendingRequests: 100
http2MaxRequests: 1000
maxRequestsPerConnection: 10
maxRetries: 3
# Circuit breaker
outlierDetection:
consecutive5xxErrors: 5 # Trip after 5 consecutive 5xx
interval: 10s # Check interval
baseEjectionTime: 30s # Eject for 30s
maxEjectionPercent: 50 # Max 50% of hosts ejected
minHealthPercent: 30 # Min healthy hosts
---
# === Canary deployment for patient-service ===
apiVersion: networking.istio.io/v1beta1
kind: DestinationRule
metadata:
name: patient-service-versions
namespace: healthcare
spec:
host: patient-service
trafficPolicy:
tls:
mode: ISTIO_MUTUAL
subsets:
- name: v1
labels:
version: v1
- name: v2
labels:
version: v2
---
apiVersion: networking.istio.io/v1beta1
kind: VirtualService
metadata:
name: patient-service-vs
namespace: healthcare
spec:
hosts:
- patient-service
http:
- match:
- headers:
x-canary:
exact: "true"
route:
- destination:
host: patient-service
subset: v2
- route:
- destination:
host: patient-service
subset: v1
weight: 95
- destination:
host: patient-service
subset: v2
weight: 5
5.2. Retry and Timeout Policy
# istio/virtual-service-resilience.yaml
apiVersion: networking.istio.io/v1beta1
kind: VirtualService
metadata:
name: lab-service-vs
namespace: healthcare
spec:
hosts:
- lab-service
http:
- route:
- destination:
host: lab-service
timeout: 30s
retries:
attempts: 3
perTryTimeout: 10s
retryOn: "5xx,reset,connect-failure,retriable-4xx"
6. Secure gRPC with Quarkus
6.1. gRPC for Healthcare Inter-Service Communication
gRPC offers higher performance than REST for inter-service communication thanks to binary protocol (Protocol Buffers) and HTTP/2 multiplexing.
┌─────────────────────────────────────────────────────────┐
│ REST vs gRPC cho Healthcare │
│ │
│ REST (JSON): │
│ + Dễ debug (human-readable) │
│ + Phổ biến, tooling tốt │
│ - Verbose (JSON serialization overhead) │
│ - No streaming │
│ │
│ gRPC (Protobuf): │
│ + Binary format (nhỏ hơn 10x) │
│ + HTTP/2 (multiplexing, streaming) │
│ + Strong typing (schema contract) │
│ + Built-in deadline/timeout │
│ - Khó debug (binary) │
│ - Browser support hạn chế │
│ │
│ Dùng REST cho: External APIs, FHIR endpoints │
│ Dùng gRPC cho: Internal service-to-service calls │
└─────────────────────────────────────────────────────────┘
6.2. Protocol Buffer Definition
// src/main/proto/patient_service.proto
syntax = "proto3";
package vn.hospital.grpc;
option java_package = "vn.hospital.grpc";
option java_outer_classname = "PatientServiceProto";
service PatientGrpcService {
// Unary RPC - Get patient by ID
rpc GetPatient (GetPatientRequest) returns (PatientResponse);
// Server streaming - Get patient's lab results
rpc GetLabResults (GetLabResultsRequest) returns (stream LabResultResponse);
// Unary - Verify patient exists (for other services)
rpc VerifyPatient (VerifyPatientRequest) returns (VerifyPatientResponse);
}
message GetPatientRequest {
string patient_id = 1;
string hospital_id = 2; // For tenant isolation
string requester_id = 3; // For audit
}
message PatientResponse {
string id = 1;
string mrn = 2;
string full_name = 3; // Encrypted if needed
string department = 4;
string hospital_id = 5;
int64 created_at = 6;
}
message GetLabResultsRequest {
string patient_id = 1;
string department = 2;
int32 limit = 3;
}
message LabResultResponse {
string id = 1;
string test_name = 2;
string result_value = 3;
string unit = 4;
string status = 5;
int64 result_date = 6;
}
message VerifyPatientRequest {
string patient_id = 1;
string hospital_id = 2;
}
message VerifyPatientResponse {
bool exists = 1;
string department = 2;
}
6.3. Quarkus gRPC Service Implementation
package vn.hospital.grpc;
import io.grpc.Status;
import io.quarkus.grpc.GrpcService;
import io.quarkus.security.identity.SecurityIdentity;
import io.smallrye.mutiny.Multi;
import io.smallrye.mutiny.Uni;
import jakarta.inject.Inject;
import org.jboss.logging.Logger;
@GrpcService
public class PatientGrpcServiceImpl implements PatientGrpcService {
private static final Logger LOG = Logger.getLogger(PatientGrpcServiceImpl.class);
@Inject
SecurityIdentity identity;
@Inject
PatientRepository patientRepository;
@Inject
AuditService auditService;
@Override
public Uni<PatientServiceProto.PatientResponse> getPatient(
PatientServiceProto.GetPatientRequest request) {
String requesterId = request.getRequesterId();
String hospitalId = request.getHospitalId();
String patientId = request.getPatientId();
// Audit log
auditService.logAccess(requesterId, "GET_PATIENT", patientId);
return patientRepository.findById(patientId, hospitalId)
.onItem().ifNull().failWith(() ->
Status.NOT_FOUND
.withDescription("Patient not found: " + patientId)
.asRuntimeException()
)
.map(patient -> PatientServiceProto.PatientResponse.newBuilder()
.setId(patient.getId().toString())
.setMrn(patient.getMrn())
.setFullName(patient.getFullName())
.setDepartment(patient.getDepartment())
.setHospitalId(patient.getHospitalId())
.build()
);
}
@Override
public Multi<PatientServiceProto.LabResultResponse> getLabResults(
PatientServiceProto.GetLabResultsRequest request) {
return patientRepository.findLabResults(
request.getPatientId(),
request.getDepartment(),
request.getLimit())
.map(result -> PatientServiceProto.LabResultResponse.newBuilder()
.setId(result.getId().toString())
.setTestName(result.getTestName())
.setResultValue(result.getResultValue())
.setUnit(result.getUnit())
.setStatus(result.getStatus())
.setResultDate(result.getResultDate().toEpochMilli())
.build()
);
}
@Override
public Uni<PatientServiceProto.VerifyPatientResponse> verifyPatient(
PatientServiceProto.VerifyPatientRequest request) {
return patientRepository.exists(request.getPatientId(), request.getHospitalId())
.map(result -> PatientServiceProto.VerifyPatientResponse.newBuilder()
.setExists(result.exists())
.setDepartment(result.department() != null ? result.department() : "")
.build()
);
}
}
6.4. gRPC Configuration
# application.properties - gRPC Configuration
# gRPC Server
quarkus.grpc.server.port=9000
quarkus.grpc.server.use-separate-server=true
# TLS cho gRPC
quarkus.grpc.server.ssl.certificate=classpath:server-cert.pem
quarkus.grpc.server.ssl.key=classpath:server-key.pem
quarkus.grpc.server.ssl.trust-store=classpath:truststore.p12
# gRPC client (Lab Service calling Patient Service)
quarkus.grpc.clients.patient-service.host=patient-service.healthcare.svc.cluster.local
quarkus.grpc.clients.patient-service.port=9000
quarkus.grpc.clients.patient-service.ssl.trust-store=classpath:truststore.p12
# Maven dependency
# <dependency>
# <groupId>io.quarkus</groupId>
# <artifactId>quarkus-grpc</artifactId>
# </dependency>
7. Kubernetes NetworkPolicy
7.1. NetworkPolicy for Namespace Isolation
# k8s/network-policies.yaml
# === Default Deny All trong healthcare namespace ===
apiVersion: networking.k8s.io/v1
kind: NetworkPolicy
metadata:
name: default-deny-all
namespace: healthcare
spec:
podSelector: {} # Apply to all pods
policyTypes:
- Ingress
- Egress
---
# === Allow DNS resolution ===
apiVersion: networking.k8s.io/v1
kind: NetworkPolicy
metadata:
name: allow-dns
namespace: healthcare
spec:
podSelector: {}
policyTypes:
- Egress
egress:
- to: []
ports:
- port: 53
protocol: UDP
- port: 53
protocol: TCP
---
# === Patient Service Network Policy ===
apiVersion: networking.k8s.io/v1
kind: NetworkPolicy
metadata:
name: patient-service-netpol
namespace: healthcare
spec:
podSelector:
matchLabels:
app: patient-service
policyTypes:
- Ingress
- Egress
ingress:
# Cho phép từ API Gateway
- from:
- podSelector:
matchLabels:
app: api-gateway
ports:
- port: 8443
protocol: TCP
- port: 9000 # gRPC
protocol: TCP
# Cho phép từ Lab Service (gRPC verify patient)
- from:
- podSelector:
matchLabels:
app: lab-service
ports:
- port: 9000 # gRPC only
protocol: TCP
# Istio sidecar communication
- from:
- podSelector:
matchLabels:
security.istio.io/tlsMode: istio
ports:
- port: 15090 # Envoy metrics
protocol: TCP
egress:
# Cho phép tới PostgreSQL
- to:
- podSelector:
matchLabels:
app: postgresql
ports:
- port: 5432
protocol: TCP
# Cho phép tới Lab Service
- to:
- podSelector:
matchLabels:
app: lab-service
ports:
- port: 8443
protocol: TCP
# Cho phép tới Kafka
- to:
- podSelector:
matchLabels:
app: kafka
ports:
- port: 9093 # SSL
protocol: TCP
# Cho phép tới Vault
- to:
- namespaceSelector:
matchLabels:
name: vault
podSelector:
matchLabels:
app: vault
ports:
- port: 8200
protocol: TCP
# Cho phép tới Keycloak
- to:
- namespaceSelector:
matchLabels:
name: auth
podSelector:
matchLabels:
app: keycloak
ports:
- port: 8443
protocol: TCP
---
# === Database Network Policy - Very Restrictive ===
apiVersion: networking.k8s.io/v1
kind: NetworkPolicy
metadata:
name: postgresql-netpol
namespace: healthcare
spec:
podSelector:
matchLabels:
app: postgresql
policyTypes:
- Ingress
- Egress
ingress:
# Chỉ cho phép từ service pods trong healthcare namespace
- from:
- podSelector:
matchLabels:
tier: service
ports:
- port: 5432
protocol: TCP
egress:
# PostgreSQL chỉ cần egress cho replication
- to:
- podSelector:
matchLabels:
app: postgresql
ports:
- port: 5432
protocol: TCP
8. Observability with mTLS
8.1. Kiali Dashboard
# istio/kiali.yaml
apiVersion: v1
kind: ConfigMap
metadata:
name: kiali
namespace: istio-system
data:
config.yaml: |
auth:
strategy: openid
openid:
client_id: kiali
issuer_uri: https://keycloak.hospital.internal/realms/infrastructure
scopes:
- openid
- profile
deployment:
accessible_namespaces:
- healthcare
external_services:
prometheus:
url: http://prometheus.monitoring:9090
grafana:
url: http://grafana.monitoring:3000
tracing:
url: http://jaeger-query.tracing:16686
8.2. Jaeger Distributed Tracing
# istio/jaeger-deployment.yaml
apiVersion: apps/v1
kind: Deployment
metadata:
name: jaeger
namespace: tracing
spec:
replicas: 1
selector:
matchLabels:
app: jaeger
template:
metadata:
labels:
app: jaeger
spec:
containers:
- name: jaeger
image: jaegertracing/all-in-one:1.54
ports:
- containerPort: 16686 # UI
- containerPort: 14268 # Collector
env:
- name: COLLECTOR_OTLP_ENABLED
value: "true"
- name: SPAN_STORAGE_TYPE
value: "elasticsearch"
- name: ES_SERVER_URLS
value: "http://elasticsearch.monitoring:9200"
8.3. Quarkus Tracing Configuration
# application.properties - OpenTelemetry Tracing
# Enable OpenTelemetry
quarkus.otel.enabled=true
quarkus.otel.exporter.otlp.endpoint=http://jaeger-collector.tracing:4317
quarkus.otel.exporter.otlp.protocol=grpc
# Service name
quarkus.otel.resource.attributes=service.name=patient-service,\
service.version=1.0.0,\
deployment.environment=production
# Sampling (production: sample 10%)
quarkus.otel.traces.sampler=parentbased_traceidratio
quarkus.otel.traces.sampler.arg=0.1
# Propagation
quarkus.otel.propagators=tracecontext,baggage,b3multi
8.4. Monitoring mTLS Health
# prometheus/mtls-alerts.yaml
groups:
- name: mtls-health
rules:
- alert: MtlsCertExpiringSoon
expr: |
(certmanager_certificate_expiration_timestamp_seconds -
time()) / 86400 < 7
for: 1h
labels:
severity: warning
annotations:
summary: "Certificate {{ $labels.name }} expires in < 7 days"
- alert: MtlsConnectionFailed
expr: |
increase(istio_tcp_connections_closed_total{
connection_security_policy="unknown"
}[5m]) > 10
for: 5m
labels:
severity: critical
annotations:
summary: "mTLS connection failures detected"
- alert: UnauthorizedServiceAccess
expr: |
increase(istio_requests_total{
response_code="403",
reporter="destination"
}[5m]) > 20
for: 5m
labels:
severity: critical
annotations:
summary: "Multiple 403 responses - possible unauthorized access attempt"
- alert: PlaintextTrafficDetected
expr: |
istio_tcp_received_bytes_total{
connection_security_policy="none"
} > 0
for: 1m
labels:
severity: critical
annotations:
summary: "Plaintext (non-mTLS) traffic detected in healthcare namespace"
9. Docker Compose for Development
# docker-compose-mtls-dev.yml
version: '3.8'
services:
# Patient Service
patient-service:
build: ./patient-service
ports:
- "8443:8443"
- "9000:9000"
environment:
QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_FILE: /etc/tls/patient-service-keystore.p12
QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_PASSWORD: patient-ks-password
QUARKUS_HTTP_SSL_CERTIFICATE_TRUST_STORE_FILE: /etc/tls/truststore.p12
QUARKUS_HTTP_SSL_CERTIFICATE_TRUST_STORE_PASSWORD: truststore-password
QUARKUS_HTTP_SSL_CLIENT_AUTH: required
volumes:
- ./certs:/etc/tls:ro
depends_on:
- postgresql
- keycloak
# Lab Service
lab-service:
build: ./lab-service
ports:
- "8444:8443"
environment:
QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_FILE: /etc/tls/lab-service-keystore.p12
QUARKUS_HTTP_SSL_CERTIFICATE_KEY_STORE_PASSWORD: lab-ks-password
QUARKUS_HTTP_SSL_CERTIFICATE_TRUST_STORE_FILE: /etc/tls/truststore.p12
QUARKUS_HTTP_SSL_CERTIFICATE_TRUST_STORE_PASSWORD: truststore-password
QUARKUS_HTTP_SSL_CLIENT_AUTH: required
volumes:
- ./certs:/etc/tls:ro
depends_on:
- postgresql
# PostgreSQL
postgresql:
image: postgres:16
environment:
POSTGRES_DB: healthcare_db
POSTGRES_USER: healthcare_app
POSTGRES_PASSWORD: healthcare_password
ports:
- "5432:5432"
volumes:
- pg_data:/var/lib/postgresql/data
# Keycloak
keycloak:
image: quay.io/keycloak/keycloak:24.0
command: start-dev --import-realm
environment:
KEYCLOAK_ADMIN: admin
KEYCLOAK_ADMIN_PASSWORD: admin
volumes:
- ./src/main/resources/healthcare-realm.json:/opt/keycloak/data/import/healthcare-realm.json
ports:
- "8180:8080"
volumes:
pg_data:
Summary
In this lesson, we built a comprehensive Secure Inter-Service Communication for healthcare microservices:
- mTLS in Quarkus: Configure HTTPS server with client certificate verification, keystore/truststore management
- Certificate Management: cert-manager automatically provisioning and rotating certificates with internal CA or Let's Encrypt
- Istio Service Mesh: Sidecar proxy automatically enforces mTLS, freeing application code from TLS logic
- PeerAuthentication: STRICT mode ensures all traffic in the mesh is encrypted
- AuthorizationPolicy: Fine-grained service-to-service access control — Lab Service can only call Patient GET
- Traffic Management: Circuit breaker, canary deployments, retry policies for resilience
- Secure gRPC: High-performance inter-service protocol with TLS, Protocol Buffers, streaming
- NetworkPolicy: Kubernetes-level firewall — default deny, explicit allow rules for each service
- Observability: Kiali (service graph), Jaeger (distributed tracing), Prometheus alerts for certificate health
Overall security model:
NetworkPolicy (L3/L4) -> Istio mTLS (L4) -> AuthorizationPolicy (L7)
-> JWT Validation (L7) -> RBAC (Application) -> Business Logic
Exercises
-
mTLS Setup: Create CA cert and service certificates using script
generate-mtls-certs.sh. Configure 2 Quarkus services (Patient + Lab) with mTLS. Test: Patient Service successfully called Lab Service. Test: Request without client certificate is rejected (403). -
Istio Service Mesh: Install Istio on Minikube/Kind. Deploy Patient Service + Lab Service
healthcarenamespace. Enable sidecar injection. Create PeerAuthentication (STRICT). Verify mTLS equalsistioctl proxy-configand Kiali dashboard. -
Authorization Policy: Create a default deny-all policy. Allow: Gateway -> Patient Service (all methods), Lab Service -> Patient Service (GET only). Test: Lab Service POST to Patient Service -> 403. Test: Pharmacy Service (no policy) -> 403.
-
Network Policy + gRPC: Create NetworkPolicy for Patient Service (only accepted from Gateway and Lab). Deploy gRPC service for patient verification. Lab Service calls gRPC VerifyPatient. Verify traffic flow in Jaeger tracing.
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