The correct answer is A – Explainability. According to AWS Responsible AI documentation, explainability refers to an AI system’s ability to clearly communicate why it produced a given result. In healthcare, clinical decision support systems must provide traceable, understandable reasoning, especially when generating treatment recommendations. AWS highlights explainability as critical for high-impact domains such as medicine because doctors and patients must trust and understand the basis for AI-driven decisions. Tools like Amazon SageMaker Clarify support feature attribution, helping clinicians understand which patient factors (e.g., age, symptoms, lab values) influenced a recommendation. Privacy and security (B) protect data but do not provide rationale. Fairness (C) ensures equitable treatment across demographics but does not explain decisions. Data governance (D) focuses on handling and controlling data, not model decision transparency. Explainability is the AWS principle that ensures clinical users can interpret, validate, and rely on AI-generated recommendations for patient care.

Referenced AWS Documentation:

AWS Responsible AI Whitepaper – Explainability

Amazon SageMaker Clarify – Feature Attribution and Model Insights