Clinical Harness for Governable Medical AI Skill Ecosystems
Authors: Tianhan Xu, Lei Bao, Zhe Hu, Tian Shen, Yongxiang Wang
Organizations: Department of Medical Informatics, Northern Jiangsu People’s Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, China. · Department of Computing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China. · SenseTime Research, Shanghai, China. · Department of Orthopedics, Northern Jiangsu People’s Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, China.
Medical AI remains organized around isolated models, whereas care requires accountable capabilities that persist across time. We define clinical AI skills and propose the Clinical Harness, a runtime governance architecture that registers, orchestrates, constrains and monitors them. Using osteoporosis as an exemplar, we show how knowledge-driven, data-driven and physics-enhanced skills can support lifecycle care and provide a governed substrate for future medical agents.