A Model-Driven Engineering Approach to AI-Powered Healthcare Platforms

Artificial intelligence (AI) has the potential to transform healthcare by supporting more accurate diagnoses and personalized treatments. However, its adoption in practice remains constrained by fragmented data sources, strict privacy rules, and the technical complexity of building reliable clinical systems. To address these challenges, we introduce a model-driven engineering (MDE) framework designed specifically for healthcare AI. The framework relies on formal metamodels, domain-specific languages (DSLs), and automated transformations to move from high-level specifications to running software. At its core is the Medical Interoperability Language (MILA), a graphical DSL that enables clinicians and data scientists to define queries and machine learning pipelines using shared ontologies. When combined with a federated learning architecture, MILA allows institutions to collaborate without exchanging raw patient data, ensuring semantic consistency across sites while preserving privacy. We evaluate this approach in a multi-center cancer immunotherapy study. The generated pipelines delivered strong predictive performance, with best-performing models achieving up to 98.5% accuracy on selected prediction tasks, while substantially reducing manual coding effort. These findings suggest that MDE principles—metamodeling, semantic integration, and automated code generation—can provide a practical path toward interoperable, reproducible, and reliable digital health platforms.