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Ethics in AI-Powered Clinical Decision Support & Chat Systems

Clinicians Check Global Group

Effective Date: 28/05/2025

Version: 1.2

Owner: Legal, Clinical Integrity & AI Governance Division

1. Purpose

This policy sets forth CliniciansCheck’s ethical and legal standards for the deployment and use of AI-driven clinical chat systems, decision-support outputs, and multilingual interactions across our platform. It ensures compliance with international law, mitigates risks to patient safety, and preserves trust in AI-human collaboration.

2. Scope

This policy applies to:

  • All AI systems deployed or accessed via CliniciansCheck;

  • All human-AI interactions involving health, wellness, or clinical-related queries;

  • All users, sellers, clinicians, partners, and developers;

  • All markets and jurisdictions where AI functionality is live or supported.

3. Foundational Principles

CliniciansCheck is committed to AI ethics rooted in:

  • Transparency — All AI usage is disclosed clearly to users;

  • Non-substitution — AI does not replace licensed clinical professionals;

  • Explainability — Outputs are traceable, reviewable, and do not operate as black boxes;

  • User Autonomy — Users retain full responsibility for decisions;

  • Bias Mitigation — Models are periodically audited for equity, cultural, and clinical neutrality;

  • Data Minimization — No AI model trains on identifiable patient interactions.

4. Global Legal Frameworks

This policy aligns with and is defensible under:

  • EU AI Act (Regulation 2024/… pending final title)

  • UK Data Protection and Digital Information Bill

  • US Algorithmic Accountability Act

  • OECD AI Principles

  • ISO/IEC 42001 AI Management Systems

  • Singapore Model AI Governance Framework

  • Canada’s AI & Data Act (AIDA)

  • UNESCO Recommendation on the Ethics of AI

  • HIPAA & GDPR (as applicable to inputs/outputs)

5. Ethical Boundaries for GIGI (CliniciansCheck AI Guide)

5.1 GIGI does not:

  • Diagnose, prescribe, or recommend medical interventions;

  • Issue emergency advice or safety-critical directives;

  • Replace human professional judgment.

5.2 GIGI may:

  • Translate or explain generic health-related terms;

  • Direct users to appropriate services, links, or specialists;

  • Offer educational, lifestyle, or wellness content marked as general information only.

6. Disclosures & Consent

6.1 All AI interactions are preceded by explicit notices:

"This conversation is powered by AI and not a substitute for medical advice."

6.2 Use of AI chat constitutes acceptance of:

  • AI Use Disclosure Statement

  • Platform Terms of Use

  • Clinical Non-Interference Policy

6.3 All AI outputs carry footer disclaimers and source references where feasible.

7. Language & Translation Safeguards

7.1 Multilingual responses are subject to:

  • Source-linked back-translation;

  • Glossary-based consistency checks;

  • Jurisdictional flagging for clinical terms with regulatory variance.

7.2 No translated or AI-generated response may be used to assert or interpret legal or clinical decisions.

8. Auditability & Risk Mitigation

8.1 All AI system activities are logged, including:

  • Query history;

  • Language and model version;

  • Timestamp and IP;

  • Disclosures presented and confirmed.

8.2 Logs are retained for seven (7) years and may be audited for:

  • Legal inquiries;

  • Clinical or safety events;

  • Algorithmic accountability.

9. Escalation, Breach, and Human Oversight

9.1 Any misuse, hallucination, or safety breach by an AI tool must be escalated to:

operationsteam@clinicianscheck.com

Reviewed by Legal, Clinical, and AI Governance within 72 hours.

9.2 Users may request human override or content removal under our Right to Challenge clause in the AI Use Disclosure Statement.

10. Governance

10.1 This policy is governed by:

  • Legal & Compliance Division

  • Clinical Risk Oversight Group

  • AI Safety & Governance Committee

10.2 Reviewed bi-annually or:

  • Following regulatory updates;

  • Launch of new AI functionality;

  • Post-incident reviews.

11. Enforcement

Violations of this policy may result in:

  • Suspension or removal of AI tools;

  • Legal investigation;

  • Public disclosure if required under law.

Approved by: Legal, Clinical & AI Governance Divisions

"AI can inform, but never replace the duty of care owed by professionals."

— Clinical Integrity Division, CliniciansCheck