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Form · AI-FRM-001 · Version 1.1 · Approved by the ASF Expert Committee
Supports: 2D.4
Purpose
Assessment of each AI system against WHO principles, with the human oversight rule.
How to complete
- Complete one form per system.
- For each principle, record the evidence and the result.
- Write the oversight rule and sign.
Checks
| Check | Entry |
|---|---|
| System purpose, vendor, version and population recorded | Yes [EC] |
| Autonomy: clinician keeps the final decision | Yes [EC] |
| Safety: validation evidence and error rate recorded | Yes [EC] |
| Transparency: how the output is explained to clinicians | Yes [EC] |
| Accountability: named clinical owner | Yes [EC] |
| Equity: performance checked across patient groups | Yes [EC] |
| Sustainability: maintenance and update plan | Yes [EC] |
| Human oversight rule written | Yes [EC] |
Evidence
| Reference | Note |
|---|---|
| E-011 | WHO (2021), Ethics and governance of artificial intelligence for health. Used as the basis for AI governance. Link and wording to verify before publication. |
| E-009 | ASF Expert Committee consensus. Form content to be agreed. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | Approved by the ASF Expert Committee |
| 1.1 | the date of approval | Internal quality review: corrected cross-references, status wording and document control | Approved by the ASF Expert Committee |
E-learning for this document
- Artificial Intelligence in Healthcare Safety (AI-001)
- Artificial Intelligence Systems for Care (TELE-10)
References
- World Health Organization (2021). Ethics and governance of artificial intelligence for health: WHO guidance. Geneva: WHO. Open source (E-011)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)