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This Comment did not involve human participants, human data, or animals.","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Financial interests: K. Yuji has received personal consulting fees from Seoritsu Biotech, outside the submitted work. The Institute of Medical Science, the University of Tokyo, receives institutional support from Tokyu Land Corporation through a Social Cooperation Programme with which K. Yuji is affiliated. W. Yuji states no conflict of interest. Non-financial interests: K. Yuji chairs the committee of the Japanese Society of Laboratory Medicine on the role of clinical laboratory testing within integrated health information systems. The views expressed in this article are those of the authors alone and do not represent the position of that society or of any other organisation or institution with which the authors are affiliated.","order":4,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Anthropic Claude (Opus 5; Anthropic, San Francisco, CA, USA), accessed through the Claude web interface between July and October 2026, was used to assist with drafting the text, with organising the structure of the argument, and with summarising the cited literature. Representative prompts asked the model to draft a commentary on semantic interoperability as a precondition for post-deployment monitoring of clinical artificial intelligence, to reorganise that commentary around a stated gap in existing reporting checklists, and to summarise specified articles. During revision, the model was also used to help draft responses to the reviewer\u2019s comments and corresponding text changes. The authors determined the argument and all substantive claims, checked every factual statement against the sources, and verified every reference against PubMed, Crossref or the issuing body\u2019s website. The authors take full responsibility for the content of the manuscript. The model does not meet authorship criteria and is not listed as an author.","order":5,"name":"Ethics","label":"Use of Large Language Models","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":6,"name":"Ethics","label":"Clinical Trial Number","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"151"}}