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AI Microsoft

OpenAI and Microsoft Want To Record Your Next Doctor's Visit 54

Posted by BeauHD from the all-about-efficiency dept.
Microsoft's speech recognition subsidiary, Nuance Communications, is integrating its AI-powered clinical notes application into Epic Systems. The collaboration aims to reduce physicians' administrative workload by automatically generating draft clinical notes within seconds using real-time conversation recording and advanced AI models, ultimately saving time for doctors and improving patient engagement. CNBC reports: Epic is a health-care software company that helps hospitals and other health systems store, share and access electronic health records. More than 500,000 physicians and 306 million patients across the globe use Epic's offerings, and the company has long-standing partnerships with both Microsoft and Nuance. The companies are collaborating to build a system that can carry out many of clinicians' back-end administrative responsibilities. Nuance told CNBC on Tuesday that integrating its latest solution, Dragon Ambient eXperience Express, into Epic is a "major step" toward that goal.

DAX Express automatically generates a draft clinical note within seconds after a patient visit. It can record a conversation between a doctor and a patient in real time and create a note using a combination of existing AI and OpenAI's newest model, GPT-4. "I think the magical thing here is that note is produced not in an hour, but in a matter of seconds," Garrett Adams, product lead for Epic's ambulatory division, told CNBC in an interview Tuesday. "So whereas it would have taken them so much longer than that to type it out manually, they now get it better, faster and with a level of convenience that wasn't even really possible to imagine a decade ago."

Nuance has strict data agreements with its customers, so patient data is fully encrypted and runs in HIPAA-compliant environments. DAX Express for Epic will be available in a private preview capacity for select users this summer, and [...] the company hopes to expand to general availability in the first quarter of 2024.
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OpenAI and Microsoft Want To Record Your Next Doctor's Visit More

OpenAI and Microsoft Want To Record Your Next Doctor's Visit

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  • Oh joy (Score:5, Insightful)

    by Tailhook ( 98486 ) on Tuesday June 27, 2023 @10:00PM (#63638692)

    ultimately saving time

    Amazing to think this ploy can still be offered with a straight face. Computers! They'll save all your time!

    Nuance has strict data agreements with its customers, so patient data is fully encrypted

    Sure. It's not all going to be piling up in S3 buckets with a bunch of here-today-gone-tomorrow contractors wandering around in it.

    And it definitely won't end up in front of a jury or on CNN when the man takes a dislike.

    • Yup, I can see this being abused by our government, HIPAA be damned.

    • Re:Oh joy (Score:5, Informative)

      by RazorSharp ( 1418697 ) on Tuesday June 27, 2023 @11:26PM (#63638844)

      Sure. It's not all going to be piling up in S3 buckets with a bunch of here-today-gone-tomorrow contractors wandering around in it.

      Of course not. This is Microsoft, it will be on whatever the Azure equivalent to S3 is.

    • Privacy intrusion.

    • Re: Oh joy (Score:3, Informative)

      by LogicalNiko ( 10448388 )
      Today most of this is done by small 200-500 person farms out of Pune, India or in the Philippines. The higher end places use US and Canadian based home âoedigital scribingâ labor. On the technical Medical Records end a lot of places are using RPA scripts to scrape mouse and keyboard entry back into the Medical Records System. Having been in this field for 20 years I can tell you many have rock-bottom quality IT security. They usually are using a combination of BYOD, shared google drives, Drop

      • Today most of this is done by small 200-500 person farms out of Pune, India or in the Philippines...

        Your entire posting history here on Slashdot consists of two comments, both of which are for this story. Is it just coincidence that your "been in this field for 20 years" qualification also qualifies you as a paid shill? Inquiring minds want to know!

        • Re: (Score:2)

          by Holi ( 250190 )

          Since when do newbs like you get to gatekeep Slashdot?

          • Since when do newbs like you get to gatekeep Slashdot?

            I'm going to assume that you're not trolling and answer your question seriously. I'm only a newb in a relative sense - I've been posting here for more than 13 years under the same handle. As for gatekeeping, how does that term apply to voicing my suspicion that a poster might be a paid shill?

            I also fail to see how folks like you who have been here longer somehow have the greater rights / privileges that your comment implies. Perhaps you, with your exalted 6-digit UID, would care to enlighten me? I'd also lo

      • So as much as there are security flaws, I trust Microsoft putting its billions on the regulatory line over tiny offshore companies outside of US legal jurisdiction.

        Has anyone tried transformer based voice models? whisper.cpp et el on github? Tried recording a few samples and running thru the large model. It's stupidly amazing.. Way better than any voice recognition system I've ever seen.

        Tried everything I could think of to intentionally trip it up for over two minutes.. mumbling, talking fast or slow, weird inflections, uttering huge random words. All correctly spelled...0 errors... It's fucking insane and everything from the code to the models have an MIT license

    • How about increased risk for misdiagnosis? The system could have biases for diagnoses and treatments.
      • Patients, at least in the United States only care about one thing: convenience and their perception of quality. They do not care about accuracy of diagnosis otherwise they would not seek care by mid-level practitioners, such as physician_assistant, or nurse practitioners, who by definition, have a lot less training and a total lack of fundamental understanding of pathophysiology, pharmacology and disease process. Even the federal government now rates hospitals on part based on reviews. Americans love McDo
  • No

  • Dr Lexus will see you now :
    https://www.youtube.com/watch?... [youtube.com]
    Plenty of retards out there living kick-ass lives.

    Still waiting for President Camacho to show up.

    • We didn't get Frito Pendejo in our timeline, instead we have some kind of evil Cheeto in Chief.

    • President Camacho already did a lap but was less Mr. T. The predictions about TV screen size, anti-intellectualism, and decline of the professional class were accurate but I'm still waiting for the popup ads that look like an AOL landing page circa 2002.

  • George Santos (Score:3)

    by jddj ( 1085169 ) on Tuesday June 27, 2023 @11:07PM (#63638824) Journal

    Has GPT3 in firmware.

    He's actually a cardio-thoracic surgeon of some renown, having performed some difficult operations for House Atredies, Abraham Lincoln and George Santos. He loves you. You should leave your wife.

  • Nope (Score:3)

    by Turkinolith ( 7180598 ) on Tuesday June 27, 2023 @11:25PM (#63638842)
    Given how often voice to text keeps misunderstanding what I'm saying, I do NOT trust it for transcribing medication.

  • For the visit and if what's recorded has future value?

  • FUCK NO!!! Y'all know that HIPAA exists for a reason. I will never waive HIPAA for this.

    • HIPAA allows for 3rd parties via Business Associate Agreements. Almost all US medical records are farmed out to small scribing platforms in Pune India or The Philippines today for data entry, medical coding, Or billing.

  • I'd hate to be a woman in a southern state... (Score:2, Interesting)

    by Anonymous Coward

    I'd hate to be a woman in a southern US state with this data being harvested. I can see signs of pregnancy gets them on a watch list, and if subsequent medical records detect that the pregnancy isn't there, then the woman gets arrested and charged.

  • If there was ever a time to poison the data pool, this would seem to be it. We need creativity, intelligence and a soupcon of dark whimsy.

  • That HIPPA thing is just a rouse
  • The whole point is for the information to pass through the doctor's brain so they form a mental picture of the patient's health. Sure, leaving the job to a language algorithm is faster and frees up the doctor so he can generate more profit by seeing more patients, but let's at least be honest with ourselves that this is the singular motive. The one ending up with the short end of the stick is the patient who's still paying through the nose to see a real doctor but could have saved a lot of time and money ju

  • The doctor will Google your symptoms and that will be it.

  • And please note that even the attempt is a crime under EU law unless you very carefully make sure it is not too easy consent, the default is "no" and your waiver explains any and all uses the data will see.

  • A moment to reflect on the patient during a mundane activity is not useless and it won't take take 5 minutes, not an hour. Removing that period of reflection is likely to have unintended consequences.

  • Doctors have become data entry monkeys. Required to tap on tablets or screens while simultaneously listening to patients interpreting data and making life altering decisions. At this point if we could simply have a medical record software, which would act like an old school Dictaphone to accurately record the interaction, and plug in billing codes that would save 90% of physicians waste of time

  • How do I turn it off?

  • I can't see trusting them with medical data. (Yes, I know I don't control where my medical team puts my data. Some of that is likely in Azure and other MS storage.)

  • It doesn't seem to be a coincidence that they forward a solution that is positioned in a place where you exchange intimate, personal information with a person you deem trustworthy.

  • Nuance single-handedly held the industry back for decades with aggressive patent lawsuits and acquisitions. Now they are in the process of being rendered moot by AI.

    The inescapable reality that quality speech inference is not computationally expensive, high quality training data is readily available while model training costs plummet will catch up with them soon enough.

  • I will personally press criminal and civil charges for HIPAA violations.

  • That's so Unreal.

  • Microsoft in control of your medical records? The possibilities boggle the mind. What was YOUR private information will then become PUBLIC information to anyone with a checkbook or a subpoena.
  • They know their days are numbered. The doctors have all been bought and paid for at this point. There's not really anything they can do for you that you cannot do for yourself, other than prescribe medication - their one last hold on their business. Medical systems are failing all over the globe, and all for the same reason. Profit. There is no sense trying to save it. Be your own doctor, and when death comes, just accept it.

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