Part 11: Responsible AI, Risk & Legal

Chapter 61: Regulatory Compliance (GDPR, HIPAA, AI Act)

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11Part 11: Responsible AI, Risk & Legal

61. Regulatory Compliance (GDPR, HIPAA, AI Act)

Chapter 61 — Regulatory Compliance (GDPR, HIPAA, AI Act)

Overview

Translate regulatory obligations into actionable controls across data, models, and operations.

Regulatory compliance for AI systems requires more than checking boxes. It demands a systematic approach to translating legal obligations into technical controls, operational procedures, and verifiable evidence. This chapter provides practical frameworks for navigating GDPR, HIPAA, and the emerging EU AI Act, with templates and processes you can adapt to your organization.

Understanding the Regulatory Landscape

Why AI Systems Face Unique Compliance Challenges

Traditional software compliance focuses on data storage, access controls, and audit trails. AI systems introduce new dimensions:

  • Dynamic Decision-Making: Models make decisions that affect individuals, triggering rights and obligations
  • Data Amplification: Training data influences outputs across millions of interactions
  • Opacity: Even with explainability tools, model reasoning isn't always transparent
  • Continuous Evolution: Models update frequently, requiring ongoing compliance validation
  • Cross-Border Complexity: Cloud infrastructure and global user bases complicate jurisdictional compliance

Regulatory Comparison Matrix

RegulationJurisdictionPrimary FocusKey ObligationsPenaltiesAI-Specific Challenges
GDPREU/EEA + extraterritorialPersonal data protectionLawful basis, data subject rights, DPIAs, accountabilityUp to €20M or 4% global revenueModel opacity, automated decision-making rights, data minimization vs. model performance
HIPAAUnited StatesProtected Health InformationAdministrative/physical/technical safeguards, BAAs, breach notificationUp to $1.5M per violation category per yearDe-identification complexity, model inversion risks, embedding PHI
EU AI ActEU + extraterritorialAI system safety & rightsRisk-based requirements, transparency, human oversight, conformityUp to €30M or 6% global revenueRisk classification, technical documentation, post-market monitoring
CCPA/CPRACalifornia, USAConsumer privacyNotice, deletion, opt-out rights, data minimizationUp to $7,500 per intentional violationAutomated decision-making disclosures, data deletion from models
PIPLChinaPersonal informationConsent, cross-border transfer restrictions, impact assessmentsUp to ¥50M or 5% annual revenueCross-border model training, localization requirements

GDPR Compliance for AI Systems

GDPR Principles Application to AI

graph TD A[GDPR Principles for AI] --> B[Lawfulness, Fairness, Transparency] A --> C[Purpose Limitation] A --> D[Data Minimization] A --> E[Accuracy] A --> F[Storage Limitation] A --> G[Integrity & Confidentiality] B --> H[Disclose AI use to users] B --> I[Valid legal basis for processing] B --> J[Explainability for decisions] C --> K[Document specific purposes] C --> L[Limit model reuse across purposes] D --> M[Collect only necessary features] D --> N[Privacy-preserving techniques DP, FL] E --> O[Data quality processes] E --> P[User correction mechanisms] F --> Q[Retention schedules by data type] F --> R[Model unlearning capabilities] G --> S[Access controls RBAC] G --> T[Encryption at rest/in transit/in use]
Legal BasisWhen Applicable for AIRequirementsStrengthsLimitations
ConsentNon-essential AI features, experimental modelsFreely given, specific, informed, unambiguous; easy withdrawalClear user controlWithdrawal disrupts model; hard to get meaningful consent for complex AI
ContractAI necessary to deliver service user requestedAI must be essential, not just convenientStrong basis for core featuresCan't use for ancillary AI features
Legitimate InterestFraud detection, security, personalizationBalancing test; less intrusive alternatives considered; transparentFlexible for business needsMust demonstrate necessity; user can object
Legal ObligationRegulatory reporting, KYC/AML AIMandated by lawNo user permission neededNarrow scope
Vital InterestsEmergency medical AILife-threatening scenarios onlyJustified in extremisVery rare for AI
Public TaskGovernment AI servicesPublic authority performing official functionClear for public sectorNot available to private companies

Data Subject Rights Implementation Workflow

graph TD A[Data Subject Rights Request] --> B{Identity Verification} B -->|Verified| C{Request Type} B -->|Failed| D[Reject with Reason + Retry Option] C -->|Access Art 15| E[Assemble Personal Data Package] C -->|Rectification Art 16| F[Update Process] C -->|Erasure Art 17| G[Deletion Workflow] C -->|Portability Art 20| H[Data Export Structured Format] C -->|Object Art 21| I[Stop Processing or Explain Compelling Grounds] C -->|Restrict Art 18| J[Restriction Mode] C -->|Automated Decision Art 22| K[Human Review] E --> L[Fulfill within 30 days extendable to 90] F --> L G --> M[Check Legal Grounds] H --> L I --> N{Compelling Grounds?} J --> L K --> L M -->|Can Delete| O[Execute Deletion] M -->|Cannot Delete| P[Explain Retention Requirement] N -->|Yes| Q[Continue Processing + Explain] N -->|No| R[Stop Processing] O --> L P --> L Q --> L R --> L L --> S[Notify User] L --> T[Log Completion]

AI-Specific GDPR Obligations

Data Subject Access Request (DSAR) - AI Extensions

Standard DSAR Information + AI-Specific Additions:

Information CategoryStandard GDPRAI-Specific Additions
Personal Data ProcessedLists of data categories• Training data inclusion (yes/no)
• Embedding/vector representations
• Inferred attributes from model
Processing PurposesBusiness purposes• Specific AI models used
• Model versions and deployment dates
Automated Decision-MakingExistence of automated decisions• Model architecture type
• Logic involved (high-level explanation)
• Significance and consequences
• Accuracy metrics for user's demographic
Data SourcesWhere data obtained• User-provided vs. inferred
• Public datasets used in training
Data RecipientsThird parties• Cloud AI providers (AWS, Azure, OpenAI)
• Subprocessors for model training
Retention PeriodsHow long data kept• Training data retention
• Model version lifecycle
• Embedding storage duration
Rights AvailableList of rights• Right to human review
• Right to challenge AI decision

Erasure Rights in AI Systems ("Right to be Forgotten")

graph TD A[Erasure Request Received] --> B{Assess Legal Grounds} B -->|Overriding Legal Basis| C[Deny with Explanation] B -->|No Overriding Basis| D[Execute Erasure] D --> E[Identify All Data] E --> F[Raw Input Data] E --> G[Processed Features] E --> H[Model Outputs Logged] E --> I[Embeddings/Vectors] E --> J[Training Data if included] E --> K[Audit Logs] F --> L{Can Delete?} G --> L H --> L I --> L J --> M{In Training Set?} K --> N{Retention Requirement?} L -->|Yes| O[Secure Deletion] L -->|No Legal Retention| O M -->|Yes| P[Machine Unlearning or Flag for Next Retrain] M -->|No| O N -->|Yes| Q[Anonymize PII Keep Audit] N -->|No| O O --> R[Verify Deletion] P --> R Q --> R R --> S[Generate Deletion Certificate] S --> T[Notify User] T --> U[Update DPO Records]

Machine Unlearning Approaches:

ApproachHow It WorksEffectivenessEffortWhen to Use
SISA (Sharded Training)Train model on data shards; remove shard containing user data; retrain only aggregationHigh (mathematically provable removal)High (architectural change)Design phase for new systems
Retraining from ScratchRemove user data; retrain entire modelComplete (100% removal)Very High (time + cost)Small models or rare requests
Influence RemovalCalculate user's influence on model weights; adjust weights to negateMedium (approximate)Medium (complex math)Large models, frequent requests
Differential PrivacyTrain with DP guarantees (ε ≤ 8); individual contribution provably minimalHigh (privacy guarantee, not true removal)High (performance trade-off)Design phase for privacy-critical systems
Flag for Next CycleMark user for exclusion in next retraining cycleLow (data remains in current model)Low (just a flag)Non-critical systems with regular retraining
Embedding RemovalRemove user's embedding vectors from vector databaseMedium (direct data removed, model intact)Low (straightforward)RAG systems with user-specific embeddings

Data Protection Impact Assessment (DPIA) for AI

DPIA Trigger Criteria for AI Systems

Conduct DPIA when AI system involves:

TriggerExamplesRegulatory Basis
Automated Decision-Making with legal/significant effectsCredit scoring, hiring decisions, benefits eligibilityGDPR Art. 35(3)(a)
Large-Scale Processing of special category dataHealth AI on patient records, biometric authenticationGDPR Art. 35(3)(b)
Systematic Monitoring of publicly accessible areasFacial recognition in public spaces, behavioral trackingGDPR Art. 35(3)(c)
Innovative Technology with unclear risksNovel AI techniques, emerging foundation modelsGDPR Art. 35(1)
Profiling with discrimination riskPersonality assessment, predictive policingGDPR Art. 35(3)(a)
Data Preventing Rights ExerciseModels that can't delete training data, opaque decisionsGDPR Art. 35(1)
Multiple Criteria (2+ above)Healthcare chatbot with automated diagnosis + health dataGDPR Art. 35(3)

DPIA Execution Workflow

graph TD A[AI System Concept] --> B{DPIA Screening} B -->|Not Required| C[Document Screening Decision] B -->|Required| D[Initiate DPIA] D --> E[Describe System] E --> F[Assess Necessity & Proportionality] F --> G[Identify Privacy Risks] G --> H[Evaluate Risk Levels] H --> I[Design Mitigations] I --> J[Calculate Residual Risk] J --> K{Residual Risk Acceptable?} K -->|No| L{Can Further Mitigate?} L -->|Yes| I L -->|No| M[Consult Supervisory Authority] K -->|Yes| N[Consult DPO] M --> O{Authority Advises?} O -->|Proceed with Conditions| N O -->|Do Not Proceed| P[Reject or Redesign] N --> Q{DPO Approves?} Q -->|Yes| R[Document & Approve] Q -->|No| S[Address DPO Concerns] S --> G R --> T[Implement Controls] T --> U[Monitor & Review] U --> V{Material Change or Issue?} V -->|Yes| D V -->|No Periodic Review| U

DPIA Template for AI Systems

Section 1: System Description

FieldDetails
System Name[AI system name and version]
Purpose[What problem does it solve?]
Scope[Number of users, data subjects, geographic reach]
Technology[Model architecture, third-party APIs, infrastructure]
Data Categories[Personal data types, special categories, inferred data]
Automated Decisions[Yes/No - if yes, legal/significant effect?]

Section 2: Necessity & Proportionality

AssessmentAnalysis
Legal Basis[Which GDPR basis - with justification]
Legitimate Aim[Business/social objective]
Necessity Test[Could objective be achieved with less intrusive means?]
Data Minimization[Only essential data collected? Alternatives considered?]
Proportionality[Benefits vs. privacy intrusion - balanced?]

Section 3: Privacy Risk Register

Risk IDDescriptionLikelihoodImpactRisk LevelAffected Data SubjectsRoot Cause
R-001Model infers sensitive attributes not explicitly providedHighMediumHighAll usersProxy variables in training data
R-002Re-identification through inference attacksLowHighMediumTraining data subjectsEmbedding memorization
R-003Discriminatory outcomes for protected groupsMediumHighHighDemographic minoritiesBiased training data
R-004Unauthorized access to model/dataLowCriticalHighAll data subjectsPotential infrastructure breach

Section 4: Risk Mitigation

Risk IDMitigation MeasuresTypeResidual RiskOwnerTimeline
R-001Differential privacy (ε=3), fairness constraintsTechnicalLowData SciencePre-deployment
R-002Limit embedding dimensionality, aggregation onlyTechnicalVery LowML EngineeringPre-deployment
R-003Fairness testing (<10% disparity), human reviewProcess + TechnicalLowAI Ethics LeadPre-deployment + ongoing
R-004Encryption, access controls, penetration testingTechnicalLowSecurity TeamPre-deployment + annual

Section 5: Stakeholder Consultation

StakeholderMethodDateKey ConcernsHow Addressed
Data SubjectsUser survey (n=500)2024-02-15Transparency, control over dataEnhanced privacy notice, easy opt-out
DPOReview meeting2024-02-20Legal basis strength, data retentionClarified legitimate interest, reduced retention to 12 months
Privacy Advocacy GroupConsultation session2024-02-25Discrimination risk, explainabilityAdded fairness testing, SHAP explanations

Section 6: Approval & Review

MilestoneDateApproverDecision
Initial DPIA Completion2024-03-01Privacy TeamApproved with recommendations
DPO Review2024-03-05Data Protection OfficerApproved
Executive Sign-Off2024-03-10Chief Privacy OfficerApproved for deployment
Next Scheduled Review2024-09-01-6-month review cycle

Cross-Border Data Transfers

Transfer Mechanism Decision Tree

graph TD A[Need to Transfer Personal Data?] -->|No| B[No Transfer Mechanism Needed] A -->|Yes| C{Destination Country/Region} C -->|Within EEA| D[No Additional Safeguards Required] C -->|Adequacy Decision Country| E[Transfer Allowed] C -->|Other Third Country| F{Transfer Mechanism} F -->|Standard Contractual Clauses| G[Implement EU SCCs 2021] F -->|Binding Corporate Rules| H[Apply for BCR Approval] F -->|EU-US Data Privacy Framework| I[Verify Vendor Certification] F -->|Derogation Art 49| J[Limited Use Only] E --> K[Document Decision] D --> K G --> L[Transfer Impact Assessment] H --> L I --> L L --> M{Local Laws Undermine Protection?} M -->|Yes| N[Supplementary Measures Required] M -->|No| O[Implement & Document] N --> P[Technical Measures] N --> Q[Contractual Measures] N --> R[Organizational Measures] P --> S[Examples: End-to-end encryption, Pseudonymization, Multi-party computation] Q --> T[Examples: Data access restrictions, Government access transparency clauses] R --> U[Examples: Data minimization, EU-preferential routing] S --> O T --> O U --> O J --> V[Explicit Consent or Other Derogation] V --> O O --> W[Update Article 30 Records] W --> X[Annual Review]

Transfer Impact Assessment (TIA) Framework

Assessment AreaKey QuestionsRisk IndicatorsSupplementary Measures
Destination Legal Framework• Government access laws?
• Surveillance programs?
• Judicial oversight?
• CLOUD Act jurisdiction
• National security laws
• Weak data protection
• Encryption with EU-based keys
• Data localization
• Contractual restrictions
Data Importer Safeguards• Previous government requests?
• Transparency reports?
• Security certifications?
• Frequent access requests
• No transparency
• Lack of certifications
• Transparency obligations
• Challenge clauses
• Annual attestation
Data Sensitivity• Special category data?
• Children's data?
• Large-scale profiling?
• Health, biometric data
• Vulnerable subjects
• High privacy impact
• Minimize transfer volume
• Anonymization techniques
• Strict access controls
Technical Protections• Encryption at rest/transit?
• Access controls?
• Pseudonymization?
• Plaintext storage
• Broad access
• Reversible pseudonyms
• End-to-end encryption
• MPC for analytics
• Strong pseudonymization

HIPAA Compliance for AI Systems

Understanding PHI in AI Context

What Constitutes PHI in AI Systems?

graph TD A[PHI Determination] --> B{Relates to Health?} B -->|Yes| C{Identifies Individual?} B -->|No| D[Not PHI] C -->|Yes - Direct or Indirect| E{Held by Covered Entity/BA?} C -->|No| F[Not PHI - May Be De-Identified] E -->|Yes| G[Protected Health Information] E -->|No| H[Health Data But Not HIPAA-Regulated] G --> I[HIPAA Safeguards Required] I --> J[Administrative] I --> K[Physical] I --> L[Technical] J --> M[Risk analysis, Workforce training, Access management] K --> N[Facility controls, Device security, Media disposal] L --> O[Access controls, Encryption, Audit logs]

The 18 HIPAA Identifiers for AI Systems

Identifier CategoryExamplesAI-Specific Considerations
NamesFull names, aliasesMust remove from clinical notes, NLP extraction needed
GeographicAddress, ZIP (if <20k pop), GPSAggregate to safe levels; use only region/state
DatesDOB, admission, discharge (except year)Date shifting preserves intervals; age >89 → 90+
Phone/Fax/EmailAll telecommunicationRedact from unstructured text, pattern matching
SSNSocial Security NumberNever use in training; flag for immediate removal
Medical Record NumbersMRN, account numbersReplace with pseudonyms; maintain secure mapping
Health Plan NumbersInsurance IDsTokenize or remove entirely
Device IdentifiersSerial numbers, IP addressesInclude only aggregated device types
URLs/IPsWeb addresses, IP addressesStrip or anonymize before processing
BiometricFingerprints, voice prints, retinal scansConsidered PHI if used for identification
Photos/ImagesFace imagesFace detection + redaction or synthetic generation
Other Unique IDsAny other unique identifierCase-by-case assessment

HIPAA Security Rule for AI: Three Pillars

Administrative Safeguards

RequirementAI ImplementationFrequencyEvidence
Risk AnalysisIdentify PHI assets (datasets, embeddings, model weights, logs); assess AI-specific threats (model inversion, data leakage)Annual + upon changesRisk assessment report
Risk ManagementImplement mitigations for identified risks; prioritize based on impactOngoingRisk register with mitigation status
Workforce TrainingSecure PHI handling, prompt injection risks, de-identification verificationInitial + annual refresherTraining completion records
Access ManagementMinimum necessary: data scientists get de-identified data; ML engineers read-only production accessOngoingAccess control matrix, quarterly reviews
Security Incident ProceduresAI incident playbooks (model leakage, data exposure, inference attacks)OngoingIncident response plan, drill records
Contingency PlanningModel rollback plans, data backup/recovery, disaster recoveryAnnual reviewBusiness continuity plan
Audit ControlsLog all PHI access (training, inference, human review)Real-timeAudit log repository

Physical Safeguards

RequirementAI Infrastructure Implementation
Facility Access Controls• Badge-controlled data centers for model training infrastructure
• Visitor logs for AI labs
• Biometric access for PHI storage areas
Workstation Security• Encrypted laptops for ML engineers
• No PHI on personal devices
• Screen privacy filters
• Auto-lock after 5 min inactivity
Device & Media Controls• Hardware Security Modules (HSM) for encryption keys
• TPMs for model signing
• Cryptographic erasure of drives with PHI
• Certificate of destruction for decommissioned hardware

Technical Safeguards

graph TD A[HIPAA Technical Safeguards for AI] --> B[Access Control] A --> C[Audit Controls] A --> D[Integrity] A --> E[Transmission Security] B --> F[Unique User IDs] B --> G[Automatic Logoff 15 min] B --> H[Encryption of PHI] B --> I[Role-Based Access] C --> J[Log All PHI Access] C --> K[Log Model Training Events] C --> L[Log Inference with PHI] C --> M[Tamper-Proof Audit Trails] D --> N[Data Integrity Checksums] D --> O[Model Signing & Verification] D --> P[Tamper Detection] E --> Q[TLS 1.3+ for API Calls] E --> R[VPN for Remote Access] E --> S[End-to-End Encryption]

Business Associate Agreements (BAA) for AI Vendors

AI Vendor BAA Checklist

Core HIPAA Provisions + AI-Specific Additions:

Provision CategoryStandard HIPAA RequirementAI-Specific Addition
Permitted UsesDefine how BA may use/disclose PHI• Explicit permission/prohibition on using PHI for model training
• Specify if vendor's general foundation model vs. customer-specific fine-tuning
• Clarify if PHI-derived embeddings can be retained
SafeguardsImplement appropriate safeguards• Reference specific technical controls (DP-SGD, federated learning)
• Output filtering to prevent PHI leakage in responses
• Model isolation (multi-tenant safeguards)
SubcontractorsEnsure subcontractor compliance• List all AI service providers (LLM API, cloud, annotation services)
• Confirm each has BAA in place
• Right to audit subcontractors
Security IncidentsReport breaches and incidents• Include AI-specific incidents: model inversion, membership inference, prompt injection leading to PHI disclosure
• Notification SLA: 24-48 hours
Access & AmendmentProvide PHI access/amendment rights• Mechanisms to access training data status
• Ability to correct inaccurate PHI in models
TerminationReturn or destroy PHI• Include model weights if trained on PHI
• Embeddings and vector databases
• Specify destruction method (cryptographic erasure)
Audit RightsAllow inspection• Right to test for PHI leakage
• Penetration testing including AI-specific attacks
• Annual security assessments

De-Identification for AI Training

Two Safe Harbor Methods:

MethodApproachProsConsBest For AI Use Cases
Safe HarborRemove all 18 identifiers + no actual knowledge residual info could identify• Clear, prescriptive rules
• No expert needed
• Legally defensible
• May reduce data utility
• Rigid
Simple classification tasks with structured data
Expert DeterminationStatistical analysis by qualified expert showing very small re-identification risk• Preserves more data utility
• Flexible approach
• Better for ML performance
• Requires expert (cost)
• Burden of proof
• Subjective assessment
Complex models needing high data fidelity

Hybrid Approach for AI:

graph TD A[Start: PHI Dataset] --> B[Remove 18 Identifiers - Safe Harbor] B --> C[Date Shifting - Preserve Temporal Relationships] C --> D[Geographic Aggregation - Minimum 20k Population] D --> E[K-Anonymity - Generalize Quasi-Identifiers] E --> F{Re-Identification Risk Assessment} F -->|Risk > 0.04| G[Additional Suppression] G --> F F -->|Risk ≤ 0.04| H[Differential Privacy for Aggregates] H --> I[Expert Determination] I --> J{Expert Approves?} J -->|No| K[Adjust Parameters] K --> E J -->|Yes| L[De-Identified Dataset Ready for AI Training] L --> M[Document De-Identification Process] M --> N[Maintain Re-Identification Risk Assessment] N --> O[Annual Re-Assessment]

Key Techniques for AI-Friendly De-Identification:

TechniqueHow It WorksData Utility ImpactPrivacy ProtectionUse Case
Date ShiftingAdd/subtract random offset (same offset per patient)High (preserves intervals)High (breaks temporal linking)Time-series medical predictions
K-AnonymityGeneralize attributes until ≥k records share same valuesMedium (loss of granularity)Medium (prevents singling out)Demographic-aware diagnostics
Differential PrivacyAdd statistical noise (Laplace, Gaussian) to data or modelMedium (ε tradeoff)Very High (provable guarantees)Training models on sensitive data
Synthetic DataGenerate artificial data mimicking statistical propertiesVariable (depends on quality)High (no real PHI)Pre-training, augmentation
Federated LearningTrain model locally, share only updates (never raw data)High (full data used locally)High (raw data never centralized)Multi-site hospital collaborations
AggregationReport only summary statistics, minimum cell sizesLow (individual-level lost)Very High (individual data invisible)Population health analytics

Limited Data Sets

What Can Be Retained:

  • Dates (admission, discharge, birth, death, service)
  • City, state, ZIP (5-digit)
  • Ages (including >89)
  • Device IDs, vehicle IDs (if not listed in 18)

Requirements:

  • Data Use Agreement (DUA) with recipient
  • Prohibited: re-identification attempts
  • Limited purposes: research, public health, healthcare operations

AI Use Case: Training models where temporal patterns and geographic trends are essential (e.g., epidemic prediction, seasonal health forecasting, readmission risk models).

EU AI Act Compliance

Risk-Based Classification Framework

graph TD A[AI System] --> B{Risk Assessment} B --> C{Prohibited Use?} C -->|Yes| D[UNACCEPTABLE RISK - BANNED] C -->|No| E{High-Risk Criteria?} D --> D1[Social Scoring by Governments] D --> D2[Real-Time Biometric Surveillance Public Spaces] D --> D3[Subliminal Manipulation] D --> D4[Exploitation of Vulnerabilities] E -->|Yes| F[HIGH RISK - Strict Requirements] E -->|No| G{Limited Risk Criteria?} F --> F1[Biometric Identification] F --> F2[Critical Infrastructure] F --> F3[Education/Employment] F --> F4[Essential Services] F --> F5[Law Enforcement] F --> F6[Justice/Democracy] F --> F7[Migration/Asylum/Border] G -->|Yes| H[LIMITED RISK - Transparency Obligations] G -->|No| I[MINIMAL RISK - Voluntary Codes] H --> H1[Chatbots] H --> H2[Emotion Recognition] H --> H3[Deepfakes] H --> H4[Biometric Categorization] I --> I1[Spam Filters] I --> I2[Video Games AI] I --> I3[Inventory Optimization]

Risk Level Determination Matrix

Risk LevelCriteriaExamplesRequirements
Unacceptable• Social scoring by public authorities
• Subliminal manipulation
• Exploitation of vulnerable groups
• Real-time biometric ID in public (with narrow exceptions)
• China-style social credit
• Manipulative advertising to children
• Indiscriminate facial recognition
PROHIBITED - Cannot deploy
High• Safety component of regulated products
• Biometric identification/categorization
• Critical infrastructure management
• Education/training decisions
• Employment decisions
• Essential services access
• Law enforcement
• Justice/migration decisions
• Hiring screening AI
• Credit scoring models
• Medical diagnosis support
• Exam grading AI
• Recidivism prediction
• Loan approval systems
• Risk management system
• Data governance
• Technical documentation
• Transparency
• Human oversight
• Accuracy/robustness
• Logging
• Conformity assessment
• CE marking
• Post-market monitoring
Limited• Direct interaction with people
• Generates/manipulates content
• Emotion recognition
• Biometric categorization
• Customer service chatbots
• Deepfake generators
• AI content creation tools
• Emotion detection in interviews
• Disclose AI use to users
• Mark AI-generated content
• Transparency about capabilities
Minimal• Low/no risk to rights and safety• Spam filters
• Video game AI
• Inventory optimization
• Recommendation engines (non-critical)
• Voluntary codes of conduct
• Best practices

High-Risk AI System Requirements

1. Risk Management System Lifecycle

graph TD A[Risk Management System] --> B[Phase 1: Identification] A --> C[Phase 2: Estimation] A --> D[Phase 3: Evaluation] A --> E[Phase 4: Mitigation] A --> F[Phase 5: Monitoring] B --> B1[Intended Purpose Analysis] B --> B2[Reasonably Foreseeable Misuse] B --> B3[Impact on Vulnerable Groups] B --> B4[Interaction with Other Systems] C --> C1[Probability of Occurrence] C --> C2[Severity of Impact] C --> C3[Affected Population Size] C --> C4[Risk Score Matrix] D --> D1[Risk Acceptability Criteria] D --> D2[State-of-the-Art Comparison] D --> D3[Residual Risk Evaluation] E --> E1[Eliminate/Reduce by Design] E --> E2[Protective Measures] E --> E3[User Information] E --> E4[Training/Documentation] F --> F1[Post-Market Surveillance] F --> F2[Incident Reporting] F --> F3[Continuous Re-Assessment] F --> F4[Update Risk File]

2. Data Governance Requirements

RequirementImplementationValidation
RelevanceData represents intended use case, contexts, environmentsStatistical analysis of data coverage
RepresentativenessBalanced across demographics, geographies, edge casesDemographic distribution tables; gap analysis
AccuracyError rates below thresholds; regular quality checksData quality metrics dashboard; automated validation
CompletenessNo systematic gaps that could introduce biasMissing data analysis; imputation justification
Statistical PropertiesAppropriate for model type and purposeDistribution analysis; hypothesis tests
Bias AssessmentEvaluated for historical, sampling, labeling biasFairness metrics; bias detection tools
Cultural AppropriatenessSuitable for target cultural/linguistic contextsCultural review; local stakeholder feedback

3. Technical Documentation Package

Required Components:

Document SectionContentPurpose
General DescriptionSystem purpose, versions, dependencies, hardware/software requirementsContext for assessors
Design & ArchitectureModel architecture, training methodology, hyperparameters, deployment environmentTechnical understanding
Data DocumentationTraining/validation/test data characteristics, provenance, processing, bias mitigationData quality assurance
Performance MetricsAccuracy, fairness, robustness metrics; evaluation methodology; edge case performancePerformance validation
Risk ManagementRisk assessment, known limitations, failure modes, mitigations, residual risksRisk transparency
Validation ResultsTest results, pre-market trials, robustness evaluationsConformity evidence
Instructions for UseUser manual, intended users, contraindications, human oversight requirementsSafe deployment
Monitoring PlanPost-market surveillance strategy, metrics, thresholds, update triggersOngoing compliance

4. Transparency and Explainability

User Information Requirements:

Information TypeContentFormatAudience
Capability & PurposeWhat the AI does, intended use casesClear language, no jargonEnd users
LimitationsKnown failure modes, edge cases, accuracy boundsSpecific examplesDeployers, users
Performance MetricsAccuracy, precision, recall for relevant groupsTables, confidence intervalsDeployers
Human OversightLevel and type of human involvement requiredProcess descriptionDeployers, operators
Data CharacteristicsTraining data period, sources, biases addressedSummary statisticsDeployers, regulators
Decision ExplanationHow specific decisions were made (for individuals)Natural language + key factorsAffected individuals
RightsRight to human review, challenge mechanismClear instructionsAffected individuals

5. Human Oversight Patterns

graph LR A[Human Oversight Models] --> B[Human-in-the-Loop] A --> C[Human-on-the-Loop] A --> D[Human-in-Command] B --> B1[AI Recommends<br>Human Decides] B --> B2[Use Cases: Medical diagnosis,<br>Credit approval, Hiring] C --> C1[AI Acts<br>Human Monitors & Can Intervene] C --> C2[Use Cases: Autonomous vehicles,<br>Content moderation, Trading] D --> D1[Human Sets Objectives<br>AI Optimizes Within Bounds] D --> D2[Use Cases: Resource allocation,<br>Strategic planning, Campaign optimization]

Human Oversight Requirements:

CapabilityDescriptionImplementation
UnderstandComprehend AI capabilities, limitations, outputsTraining, documentation, explainability interfaces
AwarenessRecognize automation bias, over-reliance risksAnti-bias training, alerts for high-confidence errors
InterpretCorrectly understand AI output meaningClear explanations, confidence scores, uncertainty indicators
Decide Not to UseOption to ignore AI recommendationEasy override mechanism, no penalty for non-use
InterveneStop or pause AI operationEmergency stop button, rollback procedures

6. Conformity Assessment Process

graph TD A[High-Risk AI System] --> B[Prepare Technical Documentation] B --> C[Implement Risk Management System] C --> D[Establish Data Governance] D --> E[Implement Quality Management System] E --> F{Assessment Type} F -->|Internal Control<br>Annex VI| G[Self-Assessment] F -->|Quality Management<br>Annex VII| H[QMS + Tech Doc Review] F -->|Notified Body<br>Certain High-Risk| I[Third-Party Assessment] G --> J[Verify Requirements Met] H --> K[QMS Certification] I --> K J --> L[Draw Up EU Declaration of Conformity] K --> L L --> M[Affix CE Marking] M --> N[Register in EU AI Database] N --> O[Market Entry Authorized] O --> P[Post-Market Monitoring] P --> Q{Serious Incident?} Q -->|Yes| R[Report to Authority] Q -->|No| S[Continue Monitoring] R --> T[Investigate & Remediate] T --> U{Material Change?} U -->|Yes| B U -->|No| S S --> P

7. Post-Market Monitoring Plan

ComponentImplementationFrequencyThresholds
Performance TrackingAccuracy, precision, recall, F1 by demographic groupWeekly>5% degradation triggers review
Fairness MonitoringDemographic parity, equalized odds, calibration across groupsBi-weekly>10% disparity triggers investigation
User FeedbackComplaints, appeals, satisfaction surveysContinuous>20 complaints/month triggers audit
Incident LoggingErrors, malfunctions, safety issuesReal-timeAny serious incident triggers reporting
Drift DetectionInput distribution shift, prediction driftDailyPSI >0.25 triggers investigation
External ContextRegulatory changes, similar system incidentsMonthlyRelevant changes trigger reassessment

Incident Reporting SLAs:

  • Life-threatening/Fatal: Immediate reporting (within hours)
  • Serious incidents (health, safety, rights impact): 15 days
  • Annual reports: Summary of monitoring, minor incidents, updates

Limited Risk - Transparency Requirements

AI System TypeTransparency RequirementImplementation Example
ChatbotsInform users they are interacting with AI (unless obvious)"You're chatting with an AI assistant. A human agent is available if needed. [Connect to Human]"
Emotion RecognitionDisclose when emotions are being analyzed"This application uses emotion detection to [purpose]. You can opt out in settings."
DeepfakesMark AI-generated/manipulated contentVisible watermark + metadata + disclaimer: "This image/video was AI-generated"
Biometric CategorizationInform individuals of categorization"This system categorizes individuals by [attributes] for [purpose]. See Privacy Notice for details."

Operationalizing Compliance

Integrated Compliance Workflow

graph TD A[Concept: New AI System] --> B{Regulatory Scoping} B --> C[Identify Applicable Regulations] C --> D[GDPR?] C --> E[HIPAA?] C --> F[EU AI Act?] C --> G[Other Sector/Regional?] D -->|Yes| H[GDPR Compliance Path] E -->|Yes| I[HIPAA Compliance Path] F -->|Yes| J[AI Act Compliance Path] G -->|Yes| K[Sector-Specific Path] H --> L[Legal Basis] H --> M[DPIA if High-Risk] H --> N[Data Subject Rights Automation] I --> O[BAA with Vendors] I --> P[De-Identification] I --> Q[Security Rule Controls] J --> R[Risk Classification] J --> S[Conformity Assessment] J --> T[Post-Market Monitoring] L --> U[Design Phase] M --> U N --> U O --> U P --> U Q --> U R --> U S --> U T --> U U --> V[Implement Controls] V --> W[Testing & Validation] W --> X[Pre-Deployment Review] X --> Y{All Requirements Met?} Y -->|No| Z[Remediate Gaps] Z --> W Y -->|Yes| AA[Deploy] AA --> AB[Continuous Monitoring] AB --> AC{Issue Detected?} AC -->|Yes| AD[Incident Response] AC -->|No| AB AD --> AE{Material Change Needed?} AE -->|Yes| B AE -->|No| AB

Comprehensive Compliance Checklist

GDPR Compliance (if applicable):

RequirementStatusEvidenceOwnerDue Date
Lawful basis identified & documentedLegal basis memoLegal[Date]
Privacy notice published (user-facing)Published notice URLPrivacy[Date]
Data subject rights workflow implementedAutomated DSR systemEngineering[Date]
DPIA completed (if high-risk)DPIA documentPrivacy Team[Date]
Data retention & deletion mechanismsRetention policy + deletion logsData Engineering[Date]
Cross-border transfers assessed & authorizedTIA + SCC/BCRLegal + Privacy[Date]
DPO consulted (if applicable)DPO approval emailDPO[Date]
Article 30 records of processing updatedRoPA entryPrivacy[Date]

HIPAA Compliance (if applicable):

RequirementStatusEvidenceOwnerDue Date
PHI inventory completedAsset inventoryPrivacy[Date]
Risk analysis conducted (incl. AI threats)Risk assessment reportSecurity[Date]
Security safeguards implemented (admin/physical/technical)Controls documentationSecurity + IT[Date]
BAAs executed with all vendors/subcontractorsExecuted BAA copiesLegal[Date]
De-identification validated (if using de-identified data)Expert determination or Safe Harbor checklistData Science[Date]
Breach notification procedures in placeIncident response planSecurity[Date]
Workforce training completedTraining completion recordsHR[Date]
Audit controls and logging activeAudit log repository + monitoring dashboardEngineering[Date]

EU AI Act Compliance (if applicable):

RequirementStatusEvidenceOwnerDue Date
Risk classification determinedRisk classification memoAI Ethics[Date]
Risk management system implementedRisk management fileAI Ethics[Date]
Data governance framework establishedData governance policy + reportsData Science[Date]
Technical documentation package completeTechnical file (200+ pages)Model Owner[Date]
Transparency requirements metUser-facing disclosuresProduct[Date]
Human oversight mechanisms in placeOversight procedures + trainingOperations[Date]
Accuracy, robustness, cybersecurity validatedTest reportsQA + Security[Date]
Logging and traceability enabledAudit log systemEngineering[Date]
Conformity assessment completedConformity assessment reportCompliance[Date]
EU declaration of conformity signedSigned declarationExecutive[Date]
CE marking affixed (if required)Product documentationProduct[Date]
Registration in EU AI database (if required)Registration confirmationLegal[Date]
Post-market monitoring plan activeMonitoring dashboard + alertsOperations[Date]

Roles and Responsibilities Matrix

RoleGDPR ResponsibilitiesHIPAA ResponsibilitiesAI Act Responsibilities
Data Protection Officer (DPO)• Review DPIAs
• Advise on lawful basis
• Handle DSRs
• Liaise with supervisory authorities
(Not a HIPAA role, but may advise)• Review high-risk AI systems
• Ensure AI Act + GDPR alignment
Privacy Officer/Manager• DPIA execution
• Privacy by design implementation
• TIA for transfers
• Records of processing
• Privacy Rule compliance
• Minimum necessary policies
• De-identification oversight
• Privacy aspects of AI documentation
• Transparency reviews
Security Lead• Integrity & confidentiality controls
• Breach detection & response
• Security Rule implementation (all three safeguards)
• Risk analysis
• Incident response
• Cybersecurity for AI
• Robustness testing
• Penetration testing
Legal Counsel• Lawful basis determination
• SCC/BCR negotiation
• Regulatory filings
• BAA negotiation
• Regulatory interpretation
• Breach notification (legal aspects)
• Risk classification guidance
• Conformity assessment support
• Regulatory filings
AI Ethics Lead• Fairness in DPIA
• Ethical aspects of automated decisions
(Advises on ethical use of health AI)• Risk management system oversight
• High-risk system reviews
• AI Ethics Council chair
Model Owner• Implement data subject rights for model
• Document processing for RoPA
• Monitor model performance
• Ensure model PHI safeguards
• Coordinate de-identification
• End-to-end AI Act accountability
• Technical documentation
• Post-market monitoring
Data Engineer• Data minimization
• Retention enforcement
• Deletion implementation
• Secure data pipelines
• De-identification pipeline
• Data governance for AI
• Data quality for conformity
Compliance Manager• Cross-functional coordination
• Audit management
• Evidence collection
• HIPAA program oversight
• Annual reviews
• Audit coordination
• Conformity assessment coordination
• Regulatory reporting
• Evidence repository

Case Study: Healthcare AI Compliance Journey

Background

Company: MediAI Corp
Product: Clinical decision support system for emergency departments
Geography: EU (Germany, France) and US
Data: Patient health records, vital signs, medical imaging
Regulations: GDPR, HIPAA, EU AI Act (high-risk classification), FDA (medical device) in scope

Initial Compliance Gaps (Month 0)

Gap AreaSpecific IssuesRegulatory Risk
GDPR• No DPIA conducted
• Unclear lawful basis
• No data subject rights automation
• Training data includes identifiable EU patient data without clear consent
Critical - could block EU deployment
HIPAA• BAA missing with cloud provider
• Training data not de-identified
• Insufficient access controls
• No breach notification plan
Critical - violations could result in penalties + loss of trust
EU AI Act• No risk classification performed
• Technical documentation incomplete
• No human oversight mechanism
• Post-market monitoring undefined
High - high-risk system, strict requirements
FDA• 510(k) submission pending
• Clinical validation insufficient
High - cannot market in US without clearance

Compliance Roadmap (12-Month Plan)

Phase 1: Foundation (Months 1-3)

Month 1: Regulatory Scoping

  • Confirmed risk classifications:
    • GDPR: High-risk (automated health decisions + large-scale special category data)
    • HIPAA: Covered (health data processing for covered entities)
    • EU AI Act: High-risk (Annex III: healthcare)
    • FDA: Class II medical device

Month 2: Governance Structure

  • Appointed Chief Medical AI Officer
  • Established AI Ethics Board (medical ethicists, privacy experts, clinicians)
  • Hired HIPAA Privacy Officer and EU-based DPO

Month 3: Gap Prioritization & Resourcing

  • Created integrated compliance program
  • Budget approved: $2M for compliance (year 1)
  • Hired compliance specialists and external auditors

Phase 2: GDPR Compliance (Months 3-5)

Month 3-4: DPIA Execution

  • Stakeholder consultation: 25 clinicians, 15 patients, 3 privacy advocacy groups
  • Identified 38 privacy risks; prioritized top 15
  • Implemented mitigations:
    • Differential privacy (ε=3.5) for training
    • Explainability (SHAP) for clinical transparency
    • Consent management for EU patient data
  • External privacy expert validated DPIA
  • DPO approved for deployment

Month 4-5: Data Subject Rights

  • Built automated DSR portal:
    • Access: Generate report within 30 days
    • Erasure: Remove from training pipeline; flag for next retrain
    • Portability: Export patient interaction data (JSON format)
    • Object: Opt-out flag prevents AI recommendations for patient
  • Privacy notice published in 6 languages (DE, FR, EN, ES, IT, NL)

Month 5: Cross-Border Transfers

  • Implemented EU-first architecture: EU patient data stays in EU data centers
  • US cloud provider: executed SCCs + TIA showing adequate safeguards
  • Encryption with EU-based key management

Phase 3: HIPAA Compliance (Months 4-6)

Month 4: De-Identification

  • Engaged expert determiner (statistical PhD, 10+ years experience)
  • Implemented hybrid de-identification:
    • Safe Harbor: Removed 18 identifiers
    • Date shifting: +/- 30 days per patient (consistent offset)
    • Aggregation: ZIP → state level
    • K-anonymity: k=100 for quasi-identifiers
  • Expert confirmed re-identification risk <0.04 (4%)
  • Documented process for audit trail

Month 5: Security Safeguards

  • Administrative: Risk analysis, workforce training (100% completion), access management policies
  • Physical: Badge-controlled data center, encrypted workstations, media disposal procedures
  • Technical: AES-256 encryption, TLS 1.3, RBAC, comprehensive audit logging

Month 6: BAAs

  • Executed BAAs with:
    • Cloud infrastructure provider (AWS)
    • Medical imaging storage (3rd party PACS)
    • Annotation service (for training data labeling)
    • LLM API provider (for clinical note processing)
  • All BAAs included AI-specific provisions (no training on PHI, model isolation, output filtering)

Phase 4: EU AI Act Compliance (Months 5-8)

Month 5-6: Risk Management System

  • Established risk management lifecycle (per ISO 14971 + AI Act)
  • Risk register: 47 risks identified
  • Top risks:
    • R-001: Misdiagnosis due to model error (High severity, Low likelihood → Medium risk)
    • R-002: Discrimination against minority health conditions (High severity, Medium likelihood → High risk)
    • R-003: Privacy breach via model inversion (Critical severity, Low likelihood → High risk)
  • Mitigations:
    • R-001: Human-in-the-loop (clinician must approve); confidence thresholds; fallback to standard protocols
    • R-002: Fairness constraints; balanced training data; demographic performance monitoring
    • R-003: Differential privacy; access controls; output filtering
  • Residual risks: All Medium or below (acceptable with monitoring)

Month 6-7: Technical Documentation Package

  • Compiled 250-page technical file including:
    • System description, intended use, contraindications
    • Model architecture (Transformer-based clinical BERT + decision trees)
    • Training data (500k de-identified EU+US patient records, 2019-2023)
    • Performance metrics (overall accuracy 94%; by demographic group; edge cases)
    • Fairness evaluation (demographic parity within 3pp for all groups)
    • Robustness testing (500 adversarial examples, distribution shift scenarios)
    • Risk management file
    • Human oversight procedures (clinician review requirements)
    • Post-market monitoring plan

Month 7-8: Conformity Assessment

  • Selected internal control (Annex VI) + QMS (Annex VII)
  • Engaged Notified Body for QMS certification
  • QMS audit: Passed with 2 minor findings (addressed within 2 weeks)
  • Signed EU Declaration of Conformity
  • Affixed CE marking to system documentation
  • Registered in EU AI database (public listing)

Phase 5: Deployment & Monitoring (Months 9-12)

Month 9: Pilot Launch (Germany)

  • Deployed in 3 hospitals (Berlin, Munich, Frankfurt)
  • 50 clinicians trained on system use, limitations, oversight responsibilities
  • Daily performance monitoring; weekly fairness reports

Month 10-11: Pilot Evaluation

  • Results:
    • Clinical accuracy: 95.2% (exceeded 94% target)
    • Fairness: Max disparity 2.8pp across demographics (within 5pp threshold)
    • Clinician satisfaction: 4.5/5
    • Patient complaints: 3 (all resolved favorably; no discrimination issues)
    • HIPAA incidents: 0
    • GDPR incidents: 0
  • AI Ethics Board: Approved for broader rollout

Month 12: Full EU + US Rollout

  • Expanded to 25 EU hospitals, 15 US hospitals
  • Ongoing monitoring (dashboards for performance, fairness, privacy, security)

Results (18 Months Post-Launch)

Compliance Outcomes

RegulationStatusEvidence
GDPRFully compliant• DPO annual review: satisfactory
• 0 supervisory authority inquiries
• 127 DSRs fulfilled (100% within SLA)
HIPAAFully compliant• 0 breaches reported
• Annual audit: no findings
• OCR review (random): satisfactory
EU AI ActFully compliant• Conformity maintained
• Post-market monitoring: all metrics within thresholds
• 1 minor incident reported (resolved within 15 days; no serious harm)
FDA510(k) cleared• Obtained clearance Month 14
• Post-market surveillance active

Business Impact

MetricResult
Customer Adoption40 hospitals (30 EU, 10 US) using system
Clinical Outcomes• 15% reduction in diagnostic errors (vs. baseline)
• 20% reduction in time-to-diagnosis
Revenue$5M ARR (Annual Recurring Revenue)
Market PositionOnly clinically validated, fully compliant emergency AI in EU market
Compliance ROI2Mcomplianceinvestment2M compliance investment → 5M revenue + risk mitigation (estimated $10M+ in avoided penalties/lawsuits)

Operational Metrics

AreaMetricTargetActualStatus
PrivacyDSAR fulfillment rate>95% within 30 days98% within 22 days avg
SecurityIncidents0 critical0 critical, 2 minor (resolved)
FairnessDemographic disparity<5pp2.8pp max
AccuracyClinical accuracy>94%95.2%
MonitoringAlert response time<4 hours2.5 hours avg

Lessons Learned

What Worked Well

  1. Integrated Compliance Approach: Addressing GDPR, HIPAA, AI Act in parallel avoided duplication and ensured consistency
  2. Early Stakeholder Engagement: Consulting clinicians, patients, and privacy groups early shaped better design
  3. Automation: Automated DSR portal, compliance monitoring reduced ongoing burden by 60%
  4. Clear Accountability: Model Owner role with executive support ensured nothing fell through cracks

Challenges & Solutions

ChallengeImpactSolution
Conflicting RequirementsGDPR right to erasure vs. HIPAA retention for legal claims (up to 6 years)Documented conflict; applied strictest requirement (HIPAA retention) with GDPR Article 17(3)(b) legal obligation exception; anonymized after retention period
De-Identification vs. Model AccuracyInitial de-identification reduced accuracy by 4ppUsed expert determination allowing more data utility; differential privacy added to training (ε=3.5); accuracy recovered to -1pp
Multi-Jurisdiction ComplexityDifferent privacy laws (EU vs. US vs. individual US states)Built modular compliance: EU-specific features (GDPR rights), US-specific (HIPAA controls), state-specific (CCPA if needed)
AI Act Technical Documentation250 pages of detailed technical docs (massive effort)Automated generation from MLflow experiment tracking; templates; 70% auto-populated, 30% manual
Explainability for CliniciansSHAP explanations too technical for some cliniciansSimplified UI: natural language explanations, top 3 factors highlighted, confidence score, comparison to similar cases

Key Takeaways

  1. Compliance is a Design Constraint, Not an Afterthought: Integrate regulatory requirements into product requirements from day one. Retrofitting is 5-10x more expensive.

  2. Risk-Based Approach: Focus resources on high-risk systems and processing activities. Not everything needs the same level of scrutiny.

  3. AI Introduces New Compliance Dimensions: Prompt security, model explainability, fairness monitoring, data provenance, and unlearning are unique to AI systems.

  4. Automation is Essential: Manual compliance doesn't scale. Invest in tools and integrate compliance checks into CI/CD.

  5. Documentation Proves Compliance: If it's not documented, you can't prove it. Maintain comprehensive, version-controlled evidence.

  6. Continuous Monitoring, Not Point-in-Time: Models drift, data changes, risks evolve. Compliance is ongoing, not one-and-done.

  7. Cross-Functional Collaboration: Compliance requires legal, privacy, security, ML engineering, and product working together. Silos cause gaps.

  8. Vendor Management is Your Responsibility: You remain accountable even when using third-party services. Thorough due diligence and contracts are critical.

  9. Transparency Builds Trust: Clear communication with users about AI use, limitations, and their rights is both a regulatory requirement and business advantage.

  10. Prepare for Incidents: Have robust incident response plans. When (not if) something goes wrong, swift, transparent response minimizes impact.

Deliverables Summary

By the end of this chapter's implementation, you should have:

Documentation:

  • Data processing inventory (Records of Processing Activities for GDPR)
  • Privacy notices and consent mechanisms
  • Data Protection Impact Assessments (DPIA)
  • Risk register and mitigation plans
  • Technical documentation package (EU AI Act)
  • Model cards and system cards
  • Policies and procedures (data governance, incident response, retention, access management)

Technical Implementations:

  • Audit logging and monitoring infrastructure
  • Data subject rights automation (access, deletion, portability)
  • Privacy-enhancing technologies (de-identification, differential privacy, federated learning)
  • Security controls (encryption at rest/transit/in use, access management, content filtering)
  • Fairness and robustness testing suites
  • Human oversight mechanisms

Processes:

  • Compliance review gates in development lifecycle
  • Incident response and regulatory reporting procedures
  • Data retention and deletion workflows
  • Vendor due diligence and contract management (BAAs, DPAs, SCCs)
  • Training and awareness programs
  • Post-market monitoring and continuous improvement

Evidence:

  • Audit trails demonstrating compliance
  • Test reports (fairness, security, robustness)
  • Training completion records
  • Third-party certifications (SOC 2, ISO 27001, HIPAA attestation)
  • Regulatory filings and approvals
  • Conformity assessment documentation (EU AI Act)