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

Federal AI landscape: executive briefing

Filtered: stage = deployed; function = medical_clinical

Generated 2026-10-16 09:03 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: stage = deployed; function = medical_clinical · 92 records

Key findings

  • 92 use-case records from 7 agencies: 92 deployed (100%), 0 pilots, 0 in development or acquisition, 0 retired, 0 with no stage reported.
  • 66 records are designated high-impact; 4 of them (6%) answered at least one minimum-practice question.
  • VA, HHS, DOJ report 88 of 92 use cases (96%).
  • 4% of reported deployed use cases (4 of 92) 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 100% of use cases. Where reported, 37% involve in-house development.

Lifecycle

StageRecordsShare
Deployed92100%

AI technology

ClassificationRecordsShareDeployed
Generative AI33%3
Classical / predictive ML3033%30
Natural language processing1617%16
Computer vision4246%42
Agentic AI11%1

Agencies

AgencyRecordsDeployedHigh-impactCompleteness
VA · Department of Veterans Affairs75756275%
HHS · Department of Health and Human Services11110100%
DOJ · Department of Justice222100%
NASA · National Aeronautics and Space Administration110100%
DOI · Department of the Interior110100%
SSA · Social Security Administration111100%
STATE · Department of State111100%

High-impact designation

DesignationRecords
High-impact66
Presumed high-impact, determined not1
Not high-impact25

Governance evidence: use cases designated high-impact

PracticeIn placeIn progressNot in placeN/A or precludedOtherNo answerIn scope
Pre-deployment testing220006266
AI impact assessment130006266
Independent review130006266
Ongoing monitoring220006266
Operator training220006266
Fail-safe220006266
Appeal process020206266
User and public consultation120016266

"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 92 records, deployed first. The full list is available as CSV from the explorer with the same filters.

RecordAgency IDAgencyUse caseStage
R0169NASA-232NASAMars2020 Rover (Perseverance)Deployed
R0672HHS1CDP (SEDRIC) AIP for Advanced Foodborne Outbreak Investigation (AI Summarization and Receipt Reading)Deployed
R0673HHSGenetic distance computation method for comparing complex multi-locus parasite (Cyclospora) genotypesDeployed
R0695HHSMachine Learning with Premier Healthcare Data to inform predictive modeling of antibiotic useDeployed
R0838HHSCreating a development networkDeployed
R0839HHSDeveloping an Objective and Quantitative Endpoint for Atopic Dermatitis in Pediatric and Adult PopulationsDeployed
R0847HHSFE5: Incorporate a range of frequently used engineering features from EHRs into the Sentinel common data model in the Sentinel EHR and claims linked Data Partner networkDeployed
R0850HHSSentinel System Task Order to address an Emerging Safety NeedDeployed
R0908HHSClinical Trial PredictorDeployed
R0909HHSClinicalTrials.gov Protocol Registration and Results System Review AssistantDeployed
R0927HHSNCI-DOE Collaboration, MOSSAIC project (Modeling Outcomes using Surveillance Data and Scalable AI for Cancer)Deployed
R0974HHSTB DEPOT (Tuberculosis Data Exploration Portal)Deployed
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

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