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Clinical Harness for Governable Medical AI Skill Ecosystems

Artificial Intelligence 2026-06-25 v1

Abstract

Medical AI remains organized around isolated models, whereas clinical care requires accountable capabilities that persist across time. We propose clinical AI skills and the Clinical Harness: a runtime governance architecture for registering, orchestrating, guarding and monitoring AI-enabled clinical capabilities. Using osteoporosis as an exemplar, we show how knowledge-driven, data-driven and physics-enhanced skills can support lifecycle care under runtime governance.

Keywords

Cite

@article{arxiv.2606.26494,
  title  = {Clinical Harness for Governable Medical AI Skill Ecosystems},
  author = {Tianhan Xu and Lei Bao and Yongxiang Wang},
  journal= {arXiv preprint arXiv:2606.26494},
  year   = {2026}
}