Evidence map›Paper›PMID 40216451›Full record

ArticleBMJ health & care informatics2025

Cracking the code: a scoping review to unite disciplines in tackling legal issues in health artificial intelligence.

Sophie Nunnelley, Colleen M Flood, Michael Da Silva, Tanya Horsley, Sarathy Kanathasan, Bryan Thomas, Emily Ann Da Silva, Valentina Ly, Ryan C Daniel, Mohsen Sheikh Hassani and 1 more

Abstract readScoping Review
In one paragraph

Article in BMJ health & care informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sophie NunnelleyLincoln Alexander School of Law, Toronto Metropolitan University, Toronto, Ontario, Canada s.nunnelley@torontomu.ca.ORCID http://orcid.org/0009-0002-7611-4138
Colleen M FloodFaculty of Law, Queen's University, Kingston, Ontario, Canada.ORCID http://orcid.org/0009-0006-4502-9554
Michael Da SilvaUniversity of Southampton School of Law, Southampton, UK.ORCID http://orcid.org/0000-0002-7021-9847
Tanya HorsleyOffice of Research and Evaluation, The Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-1256-9582
Sarathy KanathasanThe Hospital for Sick Children, Toronto, Ontario, Canada.
Bryan ThomasFaculty of Law, Queen's University, Kingston, Ontario, Canada.
Emily Ann Da SilvaUniversity of Ottawa Libraries, Ottawa, Ontario, Canada.ORCID http://orcid.org/0009-0002-4744-4189
Valentina LyUniversity of Ottawa Libraries, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-3014-4342
Ryan C DanielUniversity of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Mohsen Sheikh HassaniCarleton University Department of Systems and Computer Engineering, Ottawa, Ontario, Canada.ORCID http://orcid.org/0000-0002-9425-6220
Devin SinghPaediatric Emergency Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-3305-3881

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe rapid integration of artificial intelligence (AI) in healthcare requires robust legal safeguards to ensure safety, privacy and non-discrimination, crucial for maintaining trust. Yet, unaddressed differences in disciplinary perspectives and priorities risk impeding effective reform. This study uncovers convergences and divergences in disciplinary comprehension, prioritisation and proposed solutions to legal issues with health-AI, providing law and policymaking guidance.

methodsEmploying a scoping review methodology, we searched MEDLINE (Ovid), EMBASE (Ovid), HeinOnline Law Journal Library, Index to Foreign Legal Periodicals (HeinOnline), Index to Legal Periodicals and Books (EBSCOhost), Web of Science (Core Collection), Scopus and IEEE Xplore, identifying legal issue discussions published, in English or French, from January 2012 to July 2021. Of 18 168 screened studies, 432 were included for data extraction and analysis. We mapped the legal concerns and solutions discussed by authors in medicine, law, nursing, pharmacy, other healthcare professions, public health, computer science and engineering, revealing where they agree and disagree in their understanding, prioritisation and response to legal concerns.

resultsCritical disciplinary differences were evident in both the frequency and nature of discussions of legal issues and potential solutions. Notably, innovators in computer science and engineering exhibited minimal engagement with legal issues. Authors in law and medicine frequently contributed but prioritised different legal issues and proposed different solutions. DISCUSSION AND

conclusionDiffering perspectives regarding law reform priorities and solutions jeopardise the progress of health AI development. We need inclusive, interdisciplinary dialogues concerning the risks and trade-offs associated with various solutions to ensure optimal law and policy reform.

Indexed as

Artificial IntelligenceDelivery of Health CareHumansArtificial intelligenceDelivery of Health CareGlobal HealthHealth EquityMachine Learning

Identifiers

PMID40216451
PMCPMC11987151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.