AI Clinical Decision Support for Spaceflight Medicine
Healthcare · Safety & Security
What it collects that can identify you
- Health data from GC employees, including medical history, symptoms, and clinical measurements relevant to spaceflight medical scenarios, sourced from a health database.
- Spoken clinical observations and queries from medical personnel captured via the speech-to-text interface, representing real-time clinical interactions.
Also collects sensitive personal information, which is anonymized data.
- Run by
- Canadian Space Agency (CSA)
- Where
- No fixed location
- Kept
- Not stated by the Helpful Places.
- Shared with
- Accountable organization, Vendor
What it is for
This AI system assists medical personnel in making clinical decisions for astronauts and spaceflight crews, using speech-to-text, machine learning, and generative AI capabilities. It draws on health databases and de-identified datasets to support diagnosis and treatment recommendations in remote or space environments. The system is currently in development and is intended for use by Government of Canada employees. Users are informed when AI is involved in their care decisions.
What it collects and what happens to it
Data taken in
- Health data from GC employees, including medical history, symptoms, and clinical measurements relevant to spaceflight medical scenarios, sourced from a health database.
- De-identified datasets used to train or augment the system's models, containing records about individuals with identifying information removed.
- Spoken clinical observations and queries from medical personnel captured via the speech-to-text interface, representing real-time clinical interactions.
Processing
- Speech-to-text processing converts spoken medical input from clinical personnel into structured text for downstream analysis and decision support.
- Machine learning models classify clinical conditions and predict patient outcomes based on input health data to support medical decision-making.
- Generative AI and large language model capabilities produce clinical text outputs such as treatment summaries, recommendations, and clinical documentation for review by medical personnel.
What it does
- Speech-to-text capability converts spoken clinical inputs — symptoms, observations, commands — into structured text that the downstream analytical and generative components can process.
- Machine learning models analyze clinical data to classify conditions, predict outcomes, and score risk, providing recommendations that medical personnel review before acting.
- Generative AI produces clinical summaries, suggested treatment plans, or advisory text for medical personnel to review in the context of spaceflight medical decision support.
Outputs
- Clinical recommendations, risk scores, and predicted diagnoses produced by the system for review by medical personnel before any clinical action is taken.
- AI-generated clinical summaries, treatment plan drafts, and advisory text produced by the generative AI component for use by medical personnel in spaceflight medical scenarios.
Run by
- The Canadian Space Agency is the Government of Canada department accountable for deploying this clinical decision support system for spaceflight medical use.
Government of Canada AI Register — Connected Care Medical Module
Built by
- The AI system was developed by a consortium of vendors: Lunar Medical Inc, Paratus Medical, and Baune, contracted by the Canadian Space Agency.
Government of Canada AI Register — Connected Care Medical Module
Kept for
Not stated by the Helpful Places.
Shared with
- Clinical outputs and AI-generated recommendations are available to the Canadian Space Agency and the medical personnel operating the system.
- The system was developed by external vendors (Lunar Medical Inc, Paratus Medical, Baune). The extent of vendor access to operational data produced by the deployed system is not specified in the register entry.
Stored
Not stated by the Helpful Places.
How to read the colours
Can it identify you?
- Anonymized data
- Data about people with the link to who is broken. Stripped of identifiers, blurred, aggregated, or noised so this system can’t reasonably tie a record back to an individual.
- Pseudonymous data
- Each person’s data is tied to a token (hash, ID, template) that lets this system recognise the same person across events, but the token itself doesn’t reveal a name. Reidentification is possible with extra information.
- Identifiable data
- The data either contains a direct identifier (name, address, account name, recognisable face or voice, plate number) or carries a token this system uses to look up legal identity during processing.
Who completes the loop?
- Human decides
- This mode suggests; a person decides what to do next. The AI is always advisory — a human is in the loop on every decision. Example: a triage tool ranks cases for a clinician who chooses which to see first.
- Human executes
- This mode decides; a person carries out the result. Example: an optimizer plans the day’s trash-collection routes, and drivers run them.
- Autonomous
- This mode decides and acts on its own. No person reviews each decision or carries out the resulting action.
Definitions from the DTPR standard. Amber is about your data, violet about who decides. The fuller the shape and the deeper the colour, the more identifying the data or the less a person is involved.
- AI registerGovernment of Canada AI Register — Connected Care Medical Module (2526-CSA-ASC-005)Canadian Space Agency, AI Register entry 2526-CSA-ASC-005.
- AI registerGovernment of Canada AI Register — Connected Care Medical Module
- AI registerGovernment of Canada AI Register — Connected Care Medical Module
- Register entryPublished by the Helpful Places. Reference a8922023. This disclosure was drafted with AI assistance.Schema: ai@2026-05-06-beta
What you can do
Ask about this system
Questions go to the Helpful Places, not the vendor.
Your rights
- Right to Be Informed of AI UseUsers are informed when AI is involved in their clinical care decisions. The Canadian Space Agency has confirmed that AI use is disclosed to users of this system.
- Right to a Human ReviewThe system is designed as clinical decision support, meaning medical personnel review and decide on all AI-generated recommendations before any clinical action is taken. A human professional remains responsible for all clinical decisions.
Risks and safeguards
- Physical harmErroneous clinical recommendations in a remote spaceflight environment could result in physical harm to astronauts or crew members where no alternative medical resources are available. The system is positioned as decision support rather than autonomous decision-making, keeping a human medical professional in the loop on all clinical decisions. The system is currently in development and has not yet been deployed.
- Reputational harmIncorrect medical classifications or AI-generated clinical content could stigmatize or misrepresent an individual's health status. Use of de-identified datasets for training and the human-in-the-loop design help reduce direct reputational exposure from automated misdiagnosis. AI use is disclosed to users.