How similar or different are IATF 16949 Vs. ISO 13485

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Has anyone worked in or is familiar with both the automotive and the medical quality management systems? I am familiar with the automotive and am wondering how similar or different they are? Also who has to be certified to the medical standard? And are there government standards you would need to meet as well? I am thinking of a company that provides nuclear byproduct materials. And I most concerned with Document and Records Control. Can anyone help?
 
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