Published on: 2026-06-10
Source: Moscow Government – Government of Moscow –
An important disclaimer is at the bottom of this article.
Artificial intelligence (AI) has become a foundational technology of modern Moscow healthcare. AI services help polyclinic doctors make diagnoses and prescribe tests, decipher millions of images—X-rays, CT and MRI scans—and solve many other important tasks. Sergey Sobyanin spoke about the development of digital technologies inmy blog.
“To become an indispensable assistant to the doctor, artificial intelligence has gone through several stages in its development. At first, many teams of enthusiasts offered their own, sometimes very raw and immature solutions. Then — after testing and obtaining registration certificates from Roszdravnadzor — several projects proved their viability and began to be implemented in the real treatment process. Developers and practicing doctors accumulated enormous experience and knowledge. Gradually, in the process of fierce competition, the best, most effective solutions were born.And then the next very important stage came — the standardization of methods for creating, testing, and implementing AI services in practical medicine,” wrote the Mayor of Moscow.
In the future, the availability of standards will allow avoiding previous mistakes and will be able to guarantee the quality and safety of new developments. In this regard, artificial intelligence is not unique. Before its appearance, exactly the same path—from the first trials and errors to widely recognized standards—was passed by many other technologies that are used today in everyday life. But previously this process often lasted for decades, and in the case of artificial intelligence, Moscow has completed it in only five or six years.If in many countries only the regulation of medical AI is being discussed, 28 national standards (GOST) have already been created in the capital, and several more, including on generative AI, are in development. These standards are absent from the database of the International Organization for Standardization (ISO), which allows Moscow to form a global agenda in the field of medical AI regulation.
One of the first was GOST 59 921.1 2022, which was introduced on September 1, 2022. It defined the methodology and procedure for clinical testing of II systems, prescribing mandatory testing stages before implementation in Moscow healthcare.
Since the beginning of 2025, seven GOST R standards and two preliminary standards have come into force. They established requirements for the functionality, reliability, and application of AI systems in healthcare, including the fact that they not only analyze data but also create new data.
In 2026, five new standards with benchmark datasets — test datasets with pre-known correct answers for neural network testing — were adopted. With their help, full-fledged “exams” are conducted for AI services before allowing them to operate in Moscow medicine. If the service fails the test, it is sent back for refinement.
In 2026, GOST R 72 484—2025 was also approved, which defines the general terminology and classification of AI systems. This created the basis for a unified professional language among all participants in the implementation of AI technologies: IT companies, regulators, doctors, and users of medical services. Thanks to this, the number of discrepancies and misunderstandings complicating the interaction between parties will decrease.
The development of standards is a continuous process that combines scientific research, clinical experience, and discussions in a professional environment. Each standard project is openly discussed: after publication, interested parties have two months to submit their comments and suggestions.
The initiative to create national standards for the implementation of AI in clinical medicine belongs to the specialized subcommittee of the Technical Committee on Standardization “Artificial Intelligence” of Rosstandart. The subcommittee is organized on the basis of the Center for Diagnostics and Telemedicine.Moscow Department of Health.
Thanks to the combined expertise of developers and doctors, Moscow sets global trends in the standardization of artificial intelligence services and largely determines the paths of medical development for years and decades ahead.
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