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In this chapter, Fruzsina Molnár-Gábor and Johanne Giesecke consider specific aspects of how the application of AI-based systems in medical contexts may be guided under international standards. They sketch the relevant international frameworks for the governance of medical AI. Among the frameworks that exist, the World Medical Association’s activity appears particularly promising as a guide for standardisation processes. The organisation has already unified the application of medical expertise to a certain extent worldwide, and its guidance is anchored in the rules of various legal systems. It might provide the basis for a certain level of conformity of acceptance and implementation of new guidelines within national rules and regulations, such as those on new technology applications within the AI field. In order to develop a draft declaration, the authors then sketch out the potential applications of AI and its effects on the doctor–patient relationship in terms of information, consent, diagnosis, treatment, aftercare, and education. Finally, they spell out an assessment of how further activities of the WMA in this field might affect national rules, using the example of Germany.
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