Clinical decision support (CDS)
AI recommending diagnosis, treatment, or triage decisions — EU AI Act Annex III classification, FDA SaMD pathway, and clinical validation evidence.
Healthcare AI Compliance
Clinical decision support, diagnostic AI, and triage systems are classified high-risk under the EU AI Act Annex III. US regulators are signalling enforcement is next. The pre-enforcement window is open — and will not stay open indefinitely.
What we audit
Every system below is covered in a standard iDharma engagement. Complex or multi-system deployments are scoped on request.
AI recommending diagnosis, treatment, or triage decisions — EU AI Act Annex III classification, FDA SaMD pathway, and clinical validation evidence.
Radiology, pathology, and ophthalmology AI — performance benchmarking by demographic, ground truth construction, and sub-group accuracy disparities.
Chatbots, symptom checkers, and mental-health tools — transparency obligations, safeguarding requirements, and accuracy in high-stakes contexts.
Prior authorisation automation, billing AI, and staffing models — fair treatment, auditability, and data governance.
Regulatory frameworks
Every iDharma Healthcare engagement maps simultaneously against the frameworks below — producing one gap register, not three separate reports.
Clinical decision support, diagnostic tools, and any AI influencing medical treatment is high-risk. Conformity assessment, technical documentation, and ongoing monitoring are mandatory.
AI/ML-based SaMD requires a predetermined change-control plan and real-world performance monitoring. FDA has issued guidance on transparency and bias expectations.
Training data for healthcare AI almost always includes PHI. Data governance, de-identification, and access control requirements apply to the full AI development lifecycle.
Our methodology
We do not accept vendor documentation as evidence, and we do not produce checkbox compliance reports. Every audit gives you a named auditor, a cited methodology, and a straight answer on where your AI stands.
We evaluate clinical AI against both the EU AI Act technical file requirements and FDA SaMD pre-market expectations — in a single engagement.
We independently assess sub-group accuracy across demographic groups — aggregate accuracy that masks disparate performance is a patient harm and a regulatory liability.
We review the ground truth construction process for diagnostic AI — models evaluated against their own historical decisions have circularity problems that inflate apparent accuracy.
We verify that human oversight mechanisms are effective in practice, not just documented — regulators have penalised firms where oversight existed on paper but personnel lacked the capability to intervene.
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Get started
Start with the free Risk Snapshot to understand your EU AI Act and FDA exposure before the compliance window closes.
“AI is already making healthcare decisions — with no independent proof it holds up.”
One prioritised gap register mapped to the frameworks you answer to — signed by a named auditor.
Scoped before you pay — nothing is charged until you approve what the engagement covers.