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High-risk Sector

AI Act Compliance for Healthcare

Medical diagnostics, treatment support and care allocation — high-risk under the AI Act

Practical guidelines for hospitals, clinics and other healthcare institutions to comply with the EU AI Act.

View the compliance checklist

Why Take Action Now?

The AI Act has major impact on the healthcare sector

August 2025

First obligations for high-risk AI systems come into effect

Medical AI = High-risk

AI for diagnosis and treatment automatically falls under strictest rules

Overlap with MDR

Medical devices with AI must comply with both MDR and AI Act

Physician Remains Responsible

Human oversight requirement demands clear protocols

High-risk AI in Healthcare

These AI applications fall under strict AI Act requirements (Annex III)

Diagnostic AI

AI systems that analyze medical images or support diagnoses — from X-ray analysis to pathology.

CT/MRI image analysisDermatological AIPathology screeningECG interpretation

Treatment Support

Systems providing treatment advice, medication dosing or therapy selection support.

Clinical Decision SupportMedication dosingTherapy selectionTreatment protocols

Triage & Care Allocation

AI determining which patients get priority or which care is allocated.

ER triage systemsWaitlist prioritizationBed allocationCare intensity assessment

Predictive Models

Systems predicting patient outcomes or assessing risks.

Sepsis early warningReadmission riskMortality predictionDeterioration alerts

Specific Challenges for Healthcare Institutions

The AI Act brings unique compliance questions for the healthcare sector

MDR and AI Act Alignment

Medical devices with AI must comply with both. How to integrate requirements?

Information Security Integration

How does AI Act compliance fit into existing healthcare information security?

Clinical Validation

AI systems must be clinically validated. What evidence is needed?

Physician in the Loop

Human oversight is mandatory. How to ensure physicians make informed decisions?

Vendor Management

Much AI comes from external vendors. What guarantees to request?

Patient Rights & Transparency

Patients have right to explanation. How to communicate about AI use in care?

AI Act Compliance Roadmap

Practical steps for healthcare institutions

1

AI Inventory

2-4 weeks

Map all AI systems. Which systems influence patient care?

2

Classification & MDR Check

2-3 weeks

Determine AI Act classification and potential MDR class per system.

3

Gap Analysis

4-8 weeks

Compare current documentation with AI Act and MDR requirements.

4

Clinical Governance

2-4 months

Implement protocols for human oversight and clinical decision-making.

5

Monitoring & Vigilance

Ongoing

Set up post-market surveillance for continuous AI performance monitoring.

What Makes Healthcare AI Different?

Sector-specific considerations

Triple Regulated

Healthcare AI falls under AI Act, MDR and national healthcare legislation

Clinical Evidence Required

Technical compliance alone is not enough — clinical validation is essential

Human Lives at Stake

Errors in medical AI can directly lead to harm or death

Doctor-Patient Relationship

AI must not undermine the therapeutic relationship

Need Help with AI Act Compliance?

We help healthcare institutions with practical implementation

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