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Drafting the consultation note from what was said

Turn the audio or the transcript of a consultation into a structured draft — history, examination, plan — which the treating practitioner corrects and signs before any of it becomes part of the patient's record.

Effort
Weeks of work
Skill level
Some technical skill
Organisation size
Small business
Value
Time saved

Tools named for this

  • A speech-to-text service that handles Indian clinical vocabulary
  • A drafting model constrained to the transcript it was given
  • The treating practitioner's own correction and sign-off

What to check before you ship it in India

  • The Telemedicine Practice Guidelines make it incumbent on the registered medical practitioner to maintain the log of the interaction, the records and documents used in it, and the prescription record. Who drafted the note changes nothing about who is answerable for it.
  • A consultation recording is personal data of the patient and of anyone else audible in the room. s.8(5) of the DPDP Act puts the duty of reasonable security safeguards on the fiduciary, including for processing carried out on its behalf by a transcription provider.
  • WHO's guidance on large multi-modal models states that most clerical and administrative functions should not be completely automated, and warns that slight changes to a prompt can generate a materially different record from the same encounter.
  • ICMR's national ethical guidelines are explicit that an AI system cannot be held accountable for its own outputs, so accountability has to be assigned to named people at every stage of deployment.
  • The draft includes a plan, which is clinical management content. The Telemedicine Practice Guidelines allow only a registered medical practitioner to counsel or prescribe, communicating directly with the patient: a drafted plan is a prompt for the practitioner, never something to release as written.

Sources

Every claim on this page traces to one of these, on the date it was read.