Private Health Journal

Glossary

AI × Medicine Glossary

The minimum set of concepts needed to follow artificial intelligence in medicine.

A compact edition. Terms are deduplicated: spelling variants, abbreviations and synonyms are held inside a single entry.

52 · 5 · 2026-08-25

Foundations · Clinical applications · Data and interoperability · Evaluation and safety · RegulationEstablished 33 · Emerging 9 · Regulatory 10

Showing 52 of 52 concepts.

Artificial IntelligenceAIEstablished

Artificial Intelligence

Computational systems that perform tasks normally requiring human cognition, such as perception, inference and language use.

The umbrella term used in every regulatory text and clinical guideline; its breadth is why narrower terms below matter more in practice.

FoundationsRelated: Machine Learning, Deep Learning, Foundation ModelSource: Regulation (EU) 2024/1689 (AI Act), Art. 3(1)

Machine LearningMLEstablished

Machine Learning

Methods that derive a model from data rather than from explicitly written rules.

Nearly all clinical AI is machine learning; the distinction from rule engines decides how a system must be validated and monitored.

FoundationsRelated: Deep Learning, Model Calibration, Model DriftSource: ISO/IEC 22989:2022

Deep LearningDLEstablished

Deep Learning

Machine learning using multi-layer neural networks that learn their own feature representations.

The basis of medical image analysis and of every current language model in healthcare.

FoundationsRelated: Medical Imaging AI, Foundation ModelSource: ISO/IEC 22989:2022

Foundation ModelEstablished

Foundation Model

A large model pre-trained on broad data and adapted to many downstream tasks rather than built for one.

Shifts validation from one model per task to one model reused across tasks, which regulators treat as a distinct risk profile.

FoundationsRelated: Large Language Model, Medical Large Language Model, Multimodal AISource: Regulation (EU) 2024/1689 (AI Act), Art. 3(63) general-purpose AI model

Large Language ModelLLMEstablished

Large Language Model

A foundation model trained to predict text, producing and interpreting natural language.

Behind documentation assistants, summarisation and patient-facing chat; also the source of hallucination risk in clinical settings.

FoundationsRelated: Medical Large Language Model, Retrieval-Augmented Generation, Hallucination, GroundingSource: Regulation (EU) 2024/1689 (AI Act), Recital 99

Medical Large Language ModelEmerging

Medical Large Language Model

A language model adapted to clinical text, terminology and reasoning tasks through domain training or tuning.

Domain adaptation improves terminology handling but does not by itself establish clinical safety; evaluation remains task-specific.

Clinical applicationsRelated: Large Language Model, Clinical Natural Language Processing, Hallucination, Clinical ValidationSource: npj Digital Medicine, reviews of clinical language models — verification required

Multimodal AIEmerging

Multimodal AI

A model that takes in more than one kind of input — for example images, text and signals — within a single system.

Matches how clinical reasoning actually works, combining a report, an image and a measurement rather than one alone.

FoundationsRelated: Foundation Model, Medical Imaging AISource: Nature Medicine, reviews of multimodal clinical models — verification required

Software as a Medical DeviceSaMDRegulatory

Software as a Medical Device

Software intended for a medical purpose that performs that purpose without being part of a hardware medical device.

The single most consequential classification in health software: it determines conformity assessment, clinical evidence and post-market duties.

RegulationRelated: AI-enabled Medical Device, Intended Purpose, Clinical Decision Support System, Post-Market SurveillanceSource: IMDRF/SaMD WG/N12; MDCG 2019-11 Rev.1

Intended PurposeRegulatory

Intended Purpose

The use for which a product is intended according to the data supplied by the manufacturer in labelling, instructions or promotional material.

Classification follows what the manufacturer claims, including on a website — a disclaimer does not undo a stated medical purpose.

RegulationRelated: Software as a Medical Device, AI-enabled Medical DeviceSource: Regulation (EU) 2017/745 (MDR), Art. 2(12); CJEU C-329/16

AI-enabled Medical DeviceRegulatory

AI-enabled Medical Device

A medical device whose function depends wholly or partly on a machine-learning model.

Adds obligations that static software does not carry: data governance, change control and monitoring of performance after release.

RegulationRelated: Software as a Medical Device, Predetermined Change Control Plan, Post-Market Surveillance, Model DriftSource: FDA, Artificial Intelligence-Enabled Device Software Functions guidance

Predetermined Change Control PlanPCCPRegulatory

Predetermined Change Control Plan

An agreed description of how a model may be modified after authorisation without a new submission, and how each change will be verified.

The mechanism that lets a learning system be updated lawfully instead of freezing it at the version that was approved.

RegulationRelated: AI-enabled Medical Device, Model Drift, Post-Market SurveillanceSource: FDA, Marketing Submission Recommendations for a Predetermined Change Control Plan

Post-Market SurveillancePMSRegulatory

Post-Market Surveillance

Systematic collection and review of a device's real-world performance after it is placed on the market.

For learning systems this is where degradation is caught; a model that passed validation can fail quietly in a new population.

RegulationRelated: Model Drift, Dataset Shift, AI-enabled Medical DeviceSource: Regulation (EU) 2017/745 (MDR), Art. 83–86

Clinical Decision Support SystemCDSSEstablished

Clinical Decision Support System

Software that provides clinicians with patient-specific information or recommendations to inform a decision.

Whether a system merely displays reference material or acts on an individual's data is the line that turns it into a regulated device.

Clinical applicationsRelated: Software as a Medical Device, Automation Bias, Human OversightSource: MDCG 2019-11 Rev.1; FDA Clinical Decision Support Software guidance

Ambient Clinical IntelligenceACIEmerging

Ambient Clinical Intelligence

Systems that listen to a clinical encounter and produce documentation from it without the clinician typing.

The fastest-adopted category of clinical AI, and the one where consent, recording and record accuracy questions concentrate.

Clinical applicationsRelated: AI Medical Scribe, Clinical Natural Language Processing, HallucinationSource: npj Digital Medicine, evaluations of ambient documentation — verification required

AI Medical ScribeEmerging

AI Medical Scribe

A tool that drafts a clinical note from the audio of a consultation for the clinician to review and sign.

The draft-and-confirm pattern is what keeps it outside device classification in most readings; removing the review step changes that.

Clinical applicationsRelated: Ambient Clinical Intelligence, Human Oversight, HallucinationSource: npj Digital Medicine, evaluations of ambient documentation — verification required

Medical Imaging AIEstablished

Medical Imaging AI

Models that classify, detect, segment or register findings in radiological and other medical images.

The largest authorised category of AI medical devices, and the origin of most published evidence on clinical AI performance.

Clinical applicationsRelated: Radiomics, Computational Pathology, DICOM, Deep LearningSource: FDA, list of AI-enabled device software functions

RadiomicsEstablished

Radiomics

Extraction of large numbers of quantitative features from medical images for use as model inputs.

Turns an image into a table, which makes it analysable — and makes reproducibility across scanners the central problem.

Clinical applicationsRelated: Medical Imaging AI, Dataset ShiftSource: MeSH descriptor: Radiomics

Computational PathologyEstablished

Computational Pathology

Analysis of digitised whole-slide tissue images by computational models.

Slide digitisation is the precondition; without it the discipline has no input, which is why adoption tracks scanner deployment.

Clinical applicationsRelated: Medical Imaging AI, Deep LearningSource: The Lancet Digital Health, reviews of computational pathology — verification required

Clinical Natural Language Processingclinical NLPEstablished

Clinical Natural Language Processing

Extraction of structured meaning from free-text clinical documents such as notes, reports and discharge summaries.

Most of a health record is prose; nearly every downstream analysis depends on turning that prose into codes and values first.

Clinical applicationsRelated: SNOMED CT, Medical Large Language Model, Electronic Health RecordSource: NLM, clinical NLP resources

Digital BiomarkerEmerging

Digital Biomarker

A physiological or behavioural measure collected by a digital device and used as an indicator of a health state.

Turns continuous consumer-device data into something a study can use, provided the measure itself has been validated.

Clinical applicationsRelated: Remote Patient Monitoring, Clinical ValidationSource: FDA-NIH BEST (Biomarkers, EndpointS, and other Tools) resource

Remote Patient MonitoringRPMEstablished

Remote Patient Monitoring

Collection of health measurements outside a care setting and their review by a care team.

Generates the continuous data stream that most predictive models in chronic care assume exists.

Clinical applicationsRelated: Digital Biomarker, Clinical Prediction ModelSource: WHO, guideline on digital interventions for health system strengthening

Precision MedicineEstablished

Precision Medicine

Tailoring prevention and treatment to individual variability in genes, environment and lifestyle.

The clinical goal that most predictive modelling in healthcare is justified by, and the reason genomic data enters model inputs.

Clinical applicationsRelated: Risk Stratification, Clinical Prediction ModelSource: MeSH descriptor: Precision Medicine

Risk StratificationEstablished

Risk Stratification

Sorting a population into groups by estimated probability of an outcome, to direct attention or resources.

Where algorithmic bias does its most direct harm, because the output allocates care rather than merely describing it.

Clinical applicationsRelated: Clinical Prediction Model, Algorithmic Bias, Model CalibrationSource: MeSH descriptor: Risk Assessment

Clinical Prediction ModelEstablished

Clinical Prediction Model

A model estimating the probability of a diagnosis being present or an outcome occurring for an individual.

The dominant form of clinical AI; reporting standards exist specifically because most published models were not usable.

Evaluation and safetyRelated: Model Calibration, TRIPOD+AI, Clinical Validation, Risk StratificationSource: TRIPOD+AI statement, BMJ 2024

Electronic Health RecordEHREstablished

Electronic Health Record

The longitudinal record of a patient's care held by a healthcare provider organisation.

The primary source of training and inference data for clinical AI, and the primary reason that data is institution-shaped rather than person-shaped.

Data and interoperabilityRelated: Fast Healthcare Interoperability Resources, Clinical Natural Language Processing, Health Data InteroperabilitySource: MeSH descriptor: Electronic Health Records

Fast Healthcare Interoperability ResourcesFHIREstablished

Fast Healthcare Interoperability Resources

An HL7 standard defining health data as modular resources exchanged over web APIs.

The practical interface between an AI system and real clinical data; naming it is what makes an interoperability claim checkable.

Data and interoperabilityRelated: Electronic Health Record, Health Data Interoperability, International Patient SummarySource: HL7 FHIR Release 4 specification

International Patient SummaryIPSEstablished

International Patient Summary

A minimal, specialty-agnostic set of health data intended to support unplanned cross-border care.

The concrete target for portable patient records, and the profile most export claims should be measured against.

Data and interoperabilityRelated: Fast Healthcare Interoperability Resources, Health Data Interoperability, European Health Data SpaceSource: HL7 International Patient Summary implementation guide; EN 17269

SNOMED CTEstablished

SNOMED CT

A clinical terminology providing coded concepts and their relationships for recording clinical meaning.

Gives a model something stable to attach a finding to; free-text labels do not survive translation between systems.

Data and interoperabilityRelated: Medical Ontology, Clinical Natural Language Processing, Fast Healthcare Interoperability ResourcesSource: SNOMED International, SNOMED CT

Medical OntologyEstablished

Medical Ontology

A formal structure of concepts and relations in a medical domain, allowing meaning to be reasoned over.

The difference between matching strings and matching meaning; without one, alias handling silently fails.

Data and interoperabilityRelated: SNOMED CT, Knowledge Graph, Health Data InteroperabilitySource: NLM Unified Medical Language System (UMLS)

Knowledge GraphKGEstablished

Knowledge Graph

A graph of entities and typed relationships used as a queryable representation of a domain.

Used to ground generation in stated facts rather than model memory, and to trace why an output was produced.

Data and interoperabilityRelated: Medical Ontology, Retrieval-Augmented Generation, GroundingSource: IEEE / ACM literature on knowledge graphs — verification required

Health Data InteroperabilityEstablished

Health Data Interoperability

The ability of systems to exchange health data and use it with its meaning preserved.

Exchange without shared meaning produces data that arrives but cannot be relied on; the second half is the hard half.

Data and interoperabilityRelated: Fast Healthcare Interoperability Resources, SNOMED CT, European Health Data Space, International Patient SummarySource: HL7; ISO/TC 215 health informatics standards

European Health Data SpaceEHDSRegulatory

European Health Data Space

An EU framework governing access to and exchange of electronic health data for care and for secondary use.

Sets dated obligations on record systems, and defines a labelling regime that reaches wellness applications, not only devices.

RegulationRelated: Health Data Interoperability, International Patient Summary, Special Category Health DataSource: Regulation (EU) 2025/327 (European Health Data Space)

Special Category Health DataRegulatory

Special Category Health Data

Personal data concerning health, whose processing is prohibited unless a specific condition applies.

Determines the lawful basis for every training set, and is why de-identification and consent design precede model design.

RegulationRelated: De-identification, Synthetic Health Data, European Health Data SpaceSource: Regulation (EU) 2016/679 (GDPR), Art. 9

Federated LearningFLEstablished

Federated Learning

Training a shared model across institutions by exchanging model updates instead of moving the data.

The main answer to hospitals that cannot pool records, though updates themselves can leak and need their own protection.

Data and interoperabilityRelated: Privacy-Preserving Machine Learning, Synthetic Health DataSource: npj Digital Medicine, federated learning in healthcare reviews — verification required

Privacy-Preserving Machine LearningPPMLEmerging

Privacy-Preserving Machine Learning

Techniques that limit what can be inferred about individuals from a model or its training process.

Distinguishes an architectural guarantee from a policy promise, which is the distinction procurement asks about.

Data and interoperabilityRelated: Federated Learning, De-identification, Synthetic Health DataSource: ISO/IEC 27559:2022 privacy-enhancing data de-identification framework

De-identificationRegulatory

De-identification

Removing or transforming identifiers so that a record can no longer be attributed to a person without additional information.

Pseudonymised data remains personal data in EU law; conflating the two is the most common compliance error in AI projects.

Data and interoperabilityRelated: Special Category Health Data, Synthetic Health Data, Privacy-Preserving Machine LearningSource: Regulation (EU) 2016/679 (GDPR), Art. 4(5) and Recital 26; ISO/IEC 27559:2022

Synthetic Health DataEmerging

Synthetic Health Data

Artificially generated records that reproduce the statistical structure of real health data without corresponding to real people.

Useful for development and testing; it does not by itself remove privacy risk, since generators can memorise their training set.

Data and interoperabilityRelated: De-identification, Privacy-Preserving Machine LearningSource: npj Digital Medicine, evaluations of synthetic health data — verification required

Retrieval-Augmented GenerationRAGEstablished

Retrieval-Augmented Generation

Retrieving source passages at query time and conditioning generation on them rather than on model memory alone.

The standard mitigation for hallucination in medical question answering, and the mechanism that makes a citation checkable.

Evaluation and safetyRelated: Grounding, Hallucination, Knowledge Graph, Large Language ModelSource: ACM / IEEE literature on retrieval-augmented generation — verification required

GroundingEmerging

Grounding

Tying a generated statement to a specific retrievable source that supports it.

Without it a correct answer and a fabricated one are indistinguishable to the reader, which in clinical use is the whole problem.

Evaluation and safetyRelated: Retrieval-Augmented Generation, Hallucination, Explainable AISource: ACM / IEEE literature on grounded generation — verification required

HallucinationEstablished

Hallucination

Output that is fluent and plausible but not supported by the input or by any real source.

In medicine the failure mode is asymmetric: a fabricated dose or citation reads exactly like a correct one.

Evaluation and safetyRelated: Grounding, Retrieval-Augmented Generation, Uncertainty Estimation, Human OversightSource: Nature Medicine and npj Digital Medicine, evaluations of clinical LLM outputs — verification required

Clinical ValidationRegulatory

Clinical Validation

Demonstration that a system's output achieves the intended clinical effect in the intended population and setting.

Distinct from technical accuracy: a model can score well on a held-out set and still change nothing, or harm, in practice.

Evaluation and safetyRelated: Clinical Prediction Model, TRIPOD+AI, Model Calibration, Dataset ShiftSource: Regulation (EU) 2017/745 (MDR), Annex XIV; MDCG 2020-1

Model CalibrationEstablished

Model Calibration

The agreement between predicted probabilities and observed frequencies of the outcome.

A discriminating but miscalibrated model gives the right ranking and the wrong number, which is unsafe when the number drives a decision.

Evaluation and safetyRelated: Clinical Prediction Model, Uncertainty Estimation, TRIPOD+AISource: TRIPOD+AI statement, BMJ 2024

Model DriftEstablished

Model Drift

Degradation of a deployed model's performance over time as conditions move away from those it was trained on.

The reason a one-time approval is insufficient and monitoring is a regulatory obligation rather than good practice.

Evaluation and safetyRelated: Dataset Shift, Post-Market Surveillance, Predetermined Change Control PlanSource: ISO/IEC 23053:2022; FDA AI-enabled device guidance

Dataset ShiftEstablished

Dataset Shift

A change between the data distribution a model was trained on and the one it is applied to.

Explains why a model validated in one hospital fails in the next: different scanners, coding habits and case mix.

Evaluation and safetyRelated: Model Drift, Clinical Validation, Algorithmic BiasSource: IEEE / ACM machine-learning literature — verification required

Algorithmic BiasEstablished

Algorithmic Bias

Systematic difference in a model's performance or effect across groups, arising from data, design or deployment.

In healthcare the harm compounds: a group under-represented in the data receives less accurate output and then less care.

Evaluation and safetyRelated: Fairness, Dataset Shift, Risk StratificationSource: WHO, Ethics and Governance of Artificial Intelligence for Health (2021)

FairnessEstablished

Fairness

A stated criterion for how a model's errors or benefits should be distributed across groups.

Fairness criteria conflict mathematically; choosing one is a clinical and ethical decision, not a technical default.

Evaluation and safetyRelated: Algorithmic Bias, Human OversightSource: WHO, Ethics and Governance of Artificial Intelligence for Health (2021)

Explainable AIXAIEstablished

Explainable AI

Methods that make a model's behaviour or a specific output understandable to a person.

An explanation that is plausible but unfaithful to the model can increase misplaced trust rather than reduce it.

Evaluation and safetyRelated: Grounding, Human Oversight, Automation BiasSource: ISO/IEC TS 6254 (AI explainability); WHO (2021)

Uncertainty EstimationEmerging

Uncertainty Estimation

Quantifying how much confidence a model's individual prediction warrants.

Enables the safest available behaviour in clinical AI — declining to answer — which a system without it cannot do.

Evaluation and safetyRelated: Model Calibration, Human Oversight, HallucinationSource: IEEE / ACM machine-learning literature — verification required

Human OversightRegulatory

Human Oversight

A requirement that a person can understand, monitor and override an AI system's operation.

A legal obligation for high-risk systems, and the mechanism that keeps a draft-and-confirm workflow lawful.

RegulationRelated: Automation Bias, Clinical Decision Support System, AI Medical ScribeSource: Regulation (EU) 2024/1689 (AI Act), Art. 14

Automation BiasEstablished

Automation Bias

The tendency to accept an automated recommendation and to under-weigh contradicting evidence.

The reason human oversight has to be designed for rather than assumed: a review step people rubber-stamp is not oversight.

Evaluation and safetyRelated: Human Oversight, Clinical Decision Support System, Explainable AISource: WHO, Ethics and Governance of Artificial Intelligence for Health (2021)

TRIPOD+AIEstablished

TRIPOD+AI

A reporting guideline for studies developing or evaluating clinical prediction models, including those using machine learning.

Gives a concrete checklist for judging whether a published model claim can be assessed at all.

Evaluation and safetyRelated: Clinical Prediction Model, Clinical Validation, Model CalibrationSource: TRIPOD+AI statement, BMJ 2024

DICOMEstablished

DICOM

The standard for storing and transmitting medical images together with their acquisition metadata.

The metadata is what makes an image analysable and also what makes it identifying; both matter for AI pipelines.

Data and interoperabilityRelated: Medical Imaging AI, De-identification, Health Data InteroperabilitySource: NEMA PS3 / ISO 12052, DICOM standard