The situation with the electronic signature is complicated. There are a lot of documents that the patient must sign, but he has no convenient way to do it electronically: to sign, you need to use an enhanced qualified electronic signature, which most patients do not have, or a simple signature with identification through "Gosuslugi", which takes a lot of time at the appointment. Thanks to the EPR, the patient will be able to put an electronic graphic signature by simply signing on a tablet," explained Boris Zingerman.
The association's director india whatsapp number database told ComNews that there has not yet been a single application for establishing an EPR for testing artificial intelligence (AI).
"This is very relevant, but none of the companies that are involved in this, in my opinion, are ready to form such an application," Boris Zingerman said at the meeting.
According to the rules, a system with artificial intelligence must be registered as a medical device of the highest risk class - class 3. Small companies often cannot meet such requirements.
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The Russian government has submitted a bill to the State Duma that improves the mechanism for applying the institute of experimental legal regimes (ELR) and provides for liability for damage caused as a result of the use of artificial intelligence (AI). ELR participants will have to insure liability for the negative consequences of the use of AI.
"It is very important to establish an EPR in the field of development and application of artificial intelligence technologies, because AI is a new phenomenon that needs to be carefully introduced into the legal field, without creating unnecessary restrictions for the development of technologies, but at the same time protecting the rights and well-being of a person. Thus, the EPR is an intermediate step before the adoption of legal norms," says Elena Mimoglyadova, Junior Manager of the Strategy and Consulting Department, Applied Artificial Intelligence Department, Axenix.
Which applications are approved?
Boris Zingerman noted that applications are accepted when they are submitted by large structures, since a lot of resources are required for their formation and promotion. In order to give startups and small companies the opportunity, Boris Zingerman suggested that the NTI HealthNet legislative group form comprehensive applications for the EPR.
"Of the approved experimental legal regimes, this is the EPR for telemedicine, which was promoted by 16 very large commercial medical organizations, including Medsi, Sberbank, and Russian Railways Medicine. This is the result of two years of work, the approval of many individual applications. The second established EPR is for personal medical assistants, which was promoted by Rostec," Boris Zingerman recalled.
Head of the telemedicine service of the medical technology company Doctor Nearby, Daria Teschenkova, also believes it is important to support startups in this matter, but they must have the means to experiment. "For EPR, a large technical and digital resource is needed: these are doctors, and the ability to ensure stable technical operation of the service, and ensuring the protection of personal data and medical confidentiality," says Daria Teschenkova.
At the same time, the implementation of EPR is important for development. Anna Meshcheryakova, CEO of the Third Opinion Platform, recalled that the experiment to introduce computer vision into radiation diagnostics in the Moscow healthcare system in 2020 was launched thanks to the existence of an experimental legal regime, which served as the basis for the subsequent implementation of the technology throughout the country at the level of regional healthcare systems.
"The emergence of the EPR can be very useful for the development of the market of manufacturers of medical IT solutions, which face difficulties when introducing new products to the market. For example, with insufficient development of intellectual property issues in the field of AI and an ambiguous solution to the issue of liability for the actions of AI," said Kirill Semion, General Director of the ANO National Competence Center for Information Systems of Holding Management.
The EPR register contains 14 experimental modes in various fields: unmanned transport, medicine, public administration.
Participants in experimental legal regimes will insure against damage from artificial intelligence
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