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

Federal AI landscape: executive briefing

Filtered: stage = pilot; function = medical_clinical

Generated 2026-10-12 05:46 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 = pilot; function = medical_clinical · 17 records

Key findings

  • 17 use-case records from 3 agencies: 0 deployed (0%), 17 pilots, 0 in development or acquisition, 0 retired, 0 with no stage reported.
  • 6 records are designated high-impact; 0 of them (0%) answered at least one minimum-practice question.
  • Sourcing is reported for 100% of use cases. Where reported, 71% involve in-house development.

Lifecycle

StageRecordsShare
Pilot17100%

AI technology

ClassificationRecordsShareDeployed
Generative AI635%0
Classical / predictive ML635%0
Natural language processing424%0
Other16%0

Agencies

AgencyRecordsDeployedHigh-impactCompleteness
HHS · Department of Health and Human Services800100%
VA · Department of Veterans Affairs80675%
DOE · Department of Energy100100%

High-impact designation

DesignationRecords
High-impact6
Not high-impact11

Governance evidence: use cases designated high-impact

PracticeIn placeIn progressNot in placeN/A or precludedOtherNo answerIn scope
Pre-deployment testing0000066
AI impact assessment0000066
Independent review0000066
Ongoing monitoring0000066
Operator training0000066
Fail-safe0000066
Appeal process0000066
User and public consultation0000066

"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

All 17 records.

RecordAgency IDAgencyUse caseStage
R0640HHSDetecting Stimulant and Opioid Misuse and Illicit UsePilot
R0662HHSAutocoding to Support Adverse Drug Event SurveillancePilot
R0692HHSDLS AI Assistant toolPilot
R0718HHSEnhancing influenza A risk assessment rubrics: leveraging predictive correlates and machine learning from in vivo experiments.Pilot
R0840HHSDrug Shortage Predictive ModelPilot
R0854HHSCoreDFPilot
R0856HHSAI for Clinical Study Risk Assessment and Inspection PreparationPilot
R0861HHSMedical Data Enterprise Artificial Intelligence (MDE AI)Pilot
R2203VA-24-708VAAbridge Ambient ScribePilot
R2204VA-25-6426VAKnowtex Ambient ScribePilot
R2206VA-24-3898VALung Cancer Prediction ModelPilot
R2207VA-24-421VAPatient Care Services Integration Platform (PCSIP)Pilot
R2208VA-25-2831VACITC Automated Fax RelabelingPilot
R2209VA-25-5375VAScreen for Esophageal AdenocarcinomaPilot
R2218VA-24-2791VAInternet of Medical Things (IoMT) InventoryPilot
R2221VA-25-2778VAAI Transcription and Summary in Veteran Narrative Medicine ProgramPilot
R3398DOE-541DOEVIPER (Visualizaiton for Predictive Maintenance Recommendation)Pilot

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