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Snapshot · OMB 2025 inventory · processed Oct 11, 2026
Federal AI Intelligence · U.S. Government AI Observatory

Custom inventory report

Filter: high-impact = high_impact; function = medical_clinical

Generated 2026-10-12 11:28 UTCDataset: 2025 Federal Agency AI Use Case Inventory (individually reported use cases), Office of Management and Budget (OMB). Version 2025-inventory@62d5baa65fa3, processed 2026-10-11, rules 2026.10.1. Static snapshot.Applied filters: high-impact = high_impact; function = medical_clinical · 116 records

Key findings

  • 116 use-case records from 4 agencies: 66 deployed (57%), 6 pilots, 38 in development or acquisition, 6 retired, 0 with no stage reported.
  • 116 records are designated high-impact; 4 of them (3%) answered at least one minimum-practice question.
  • VA, DOJ, SSA report 115 of 116 use cases (99%).
  • 3% of reported deployed use cases (2 of 66) are classified as generative or agentic AI.
  • Of 66 deployed high-impact use cases, 1 report a completed AI impact assessment and 62 leave every minimum-practice field blank.
  • Interpretation: Blank practice fields are missing evidence, not evidence that a safeguard is absent. They mark where follow-up questions to the agency are most useful.
  • Sourcing is reported for 62% of use cases. Where reported, 24% involve in-house development.

Lifecycle

StageRecordsShare
Deployed6657%
Pilot65%
Pre-deployment3833%
Retired65%

AI technology

ClassificationRecordsShareDeployed
Generative AI109%2
Classical / predictive ML3127%22
Natural language processing1513%3
Computer vision4640%39
Agentic AI87%0
Not reported65%0

Agencies

AgencyRecordsDeployedHigh-impactCompleteness
VA · Department of Veterans Affairs1126211266%
DOJ · Department of Justice222100%
SSA · Social Security Administration111100%
STATE · Department of State111100%

High-impact designation

DesignationRecords
High-impact116

Governance evidence: use cases designated high-impact

PracticeIn placeIn progressNot in placeN/A or precludedOtherNo answerIn scope
Pre-deployment testing22000112116
AI impact assessment13000112116
Independent review13000112116
Ongoing monitoring22000112116
Operator training22000112116
Fail-safe22000112116
Appeal process02020112116
User and public consultation12001112116

"In place" means the agency reported the practice as established. "No answer" means the field was blank; it says nothing about whether the practice exists.

Method

All figures are computed directly from the normalised inventory records. Category labels are normalised from the source answer options; original values are kept on each record. Governance answers are classified as in place, in progress, not in place, not applicable, precluded, waived, other or no answer, and blanks are never read as "no". See the Methodology page for full rules.

Limitations

  • Figures are what agencies reported in the 2025 inventory. They are not verified, and registration of use cases is not complete for every agency.
  • A blank answer is missing evidence, not evidence that a practice or safeguard is absent.
  • Counts are use-case records. A larger portfolio does not indicate better performance or greater AI maturity, and agencies differ in how they split systems into use cases.
  • The inventory has no budget, cost, accuracy or outcome data. None is shown or inferred here.
  • This is a disclosure analysis. It is not an audit, a compliance determination or an official government assessment.

Source records

First 40 of 116 records, deployed first. The full list is available as CSV from the explorer with the same filters.

RecordAgency IDAgencyUse caseStage
R1593DOJ-0149DOJCommunity Treatment Pipeline ScreeningDeployed
R1612DOJ-0170DOJUpToDateDeployed
R2236VA-24-1069VAAGFA DR 800 with MUSICA DynamicDeployed
R2238VA-24-1397VAXeleris VDeployed
R2241VA-24-1766VATrueFidelity CT Deep Learning Image ReconstructionDeployed
R2242VA-24-1803VAAIDOC BriefCaseDeployed
R2243VA-24-1848VAiCAD ProFound AIDeployed
R2244VA-24-1934VACircle CVI42Deployed
R2245VA-24-2008VAVA CART Adenoma DetectionDeployed
R2247VA-24-2754VAZio ECG Utilization ServiceDeployed
R2248VA-24-3131VASOMATOM go.Up; SOMATOM go.Now; SOMATOM go.All; SOMATOM go.Top; SOMATOM go.Sim; SOMATOM go.Open Pro; SOMATOMDeployed
R2249VA-24-3205VA3M/Solventum 360 Encompass Computer Assisted Coding - Auto SuggestionDeployed
R2250VA-24-3213VAVivid iqDeployed
R2251VA-24-3295VAEchoPAC Software Only, EchoPAC Plug-InDeployed
R2252VA-24-3414VADensitas Density AIDeployed
R2253VA-24-3455VARiverain ClearRead CTDeployed
R2254VA-24-3537VATranspara Breast CareDeployed
R2255VA-24-3541VAXIDF-AWS801, Angio Workstation (Alphenix Workstation), V9.5Deployed
R2256VA-24-3705VAWorkflow BoxDeployed
R2257VA-24-3906VAeCaremanager (Philips)Deployed
R2258VA-24-3951VAVoluson Expert 22, Voluson Expert 20, Voluson Expert 18Deployed
R2259VA-24-4107VACareLink Home MonitoringDeployed
R2260VA-24-413VAGE Portable Critical Care Suite 2.xDeployed
R2261VA-24-4152VAStratification Tool for Opioid Risk Mitigation (STORM)Deployed
R2263VA-24-4197VAVereos PET/CTDeployed
R2264VA-24-4234VAREACH VET Suicide Risk Prediction and Recovery EngagementDeployed
R2265VA-24-4238VAVenue FitDeployed
R2266VA-24-4279VAVelacurDeployed
R2267VA-24-4320VASyngo Application SoftwareDeployed
R2268VA-24-4353VARapid AIDeployed
R2269VA-24-4361VASpine Planning (2.0), Elements Spine Planning, Elements Planning SpineDeployed
R2272VA-24-4599VAPreventice BodyGuardian Remote Monitoring SystemDeployed
R2273VA-24-4607VAEPIQ Series Diagnostic Ultrasound System; Affiniti Series Diagnostic Ultrasound SystemDeployed
R2275VA-24-4689VAOPTIS Mobile Next Imaging System, OPTIS Integrated Next Imaging SystemDeployed
R2276VA-24-4730VAO-arm O2 Imaging SystemDeployed
R2278VA-24-4812VAMAGNETOM Vida; MAGNETOM Lumina; MAGNETOM Aera; MAGNETOM Skyra; MAGNETOM Prisma; MAGNETOM Prisma fitDeployed
R2279VA-24-4923VA3D QuorumDeployed
R2281VA-24-5005VAQVCAD SystemDeployed
R2283VA-24-5046VAQuantraDeployed
R2285VA-24-5140VADiscovery MI Gen2Deployed

Prepared with Federal AI Intelligence by Irakli Petriashvili. Source: https://github.com/ombegov/2025-Federal-Agency-AI-Use-Case-Inventory