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healthcare · HIPAA · FDA SaMD guidance · EU AI Act Annex III

Radiology AI (SaMD)

Radiology AI 510(k) — per-read decision receipt for malpractice

AIDA (pending) + OSFI E-23 model risk
Regulatory exposure — commonly overlooked:
Hospital owns read — AI vendor owns cleared device label only · Quebec Law 25 already strict on automated decisions — ROC catching up with AIDA.

TAM / Exposure

$2B AI radiology

Insurance lines

E&O · Cyber · Sector liability

Exhibit authority

Canada OSFI E-23 Pack — Radiology AI (SaMD) External Validation Pack

Global leaders

Aidoc · Google Health · FDA · OSFI · RBC · OPC · AMF Quebec

Missed finding

AI flagged then dismissed — who owns miss? Receipt settles.

FDA PCCP

Model update without receipt = off-label use inference

[Canada] OSFI banks

Canadian bank AI — E-23 model risk parallels SR 11-7.

[Canada] Bill C-27

AIDA when passed — early receipt infrastructure = compliance head start.

[Text / Chat] Modality hook

Baseline — all frameworks apply to text decisions.

7 mandate layers (live)

Regulatory Clock Countdown to operative regulatory deadline — NAIC adoption, GSE mandate, EU transposition. Open →
Domain Classifier Industry-specific SAFE/CRISIS/VIOLATION with regulatory framework mapping. Open →
Exhibit / Filing Pack Regulator-ready external validation — NAIC Exhibit D, Fannie QC, EU FRIA, FDA Part 11. Open →
Mandate Registry Enroll deployers/insureds under vertical-specific governance mandate. Open →
Bind / Action Gate ALLOW/BLOCK before consequential action — bind policy, sell loan, deactivate worker. Open →
Compliance Certificate Deployer-facing downloadable cert — forward to counsel, auditor, regulator. Open →
Actuarial / Risk Feed Anonymized asymmetry signals for pricing, reserving, reinsurance correlation. Open →
Run radiology_ai demo Regulatory calendar Download exhibit pack Verify independently