Clinical Harness for Governable Medical AI Skill Ecosystems

Medical AI remains organized around isolated models, whereas clinical care requires accountable capabilities that persist across time. We propose clinical AI skills and the Clinical Harness: a runtime governance architecture for registering, orchestrating, guarding and monitoring AI-enabled clinical capabilities. Using osteoporosis as an exemplar, we show how knowledge-driven, data-driven and physics-enhanced skills can support lifecycle care under runtime governance.