Nabla Copilot
AI
clinical documentation ai
SHOW HN2023
How HN took it
18 positive, 35 neutral or asking, 3 mixed, 31 critical, out of 87 comments about the project. Thread score -0.11.
Idea: 11 for, 7 againstPrivacy: 1 for, 17 againstPerformance: 0 for, 4 againstExecution: 1 for, 1 againstDesign: 0 for, 2 against
The thread, comment by comment
Each row is a top-level comment and its replies, in HN's order. Select a cell to open that comment on HN.
positive neutral or mixed critical about another commenter or something else the maker
What HN said
Objections
Privacy concerns about sending patient conversations to a third party cloud
From 3 comments
As a patient, this is an application that I would be extremely wary of, personally. I don't want the details of my conversations with my doctor to be sent to a third party in the…
JohnFen on HNI like the idea, but I would like it even more if it was on-prem. The doctors (at least in EU) will be very wary of having their client meeting essentially recorded by a third…
v4dok on HNI'd prefer to have 0 AI interpreting my session with a doctor. Will there be any way for me to identify which physicians use this service so that I can avoid using them?
ysavir on HN
Hallucinated or wrong transcription risks patient safety
From 3 comments
This is the scariest real life attempt to use the bullshit machine I’ve seen so far. Nothing like “subtly wrong” clinical notes to affect positive medical outcomes. And time…
NorthOf33rd on HNIs Whisper really up to this? When I've used it, it's...fine. But it also randomly dreams up weird transcriptions that have nothing to do with what's actually being said, and…
norgie on HNMy worry is verification of facts. What if the model summarized incorrect facts, and it gets added to the medical history? How can doctors easily verify and fix things?
priyanmuthu on HN
HIPAA compliance unclear; HIPAA-eligible wording criticised
From 3 comments
From their main page (https://www.nabla.com/), the mention HIPAA: Secure and HIPAA-eligible ``` Audio, transcripts, and notes are not stored by Nabla HIPAA-eligible and GDPR…
freshpots on HNWhat does "HIPAA-eligible" mean?
JohnFen on HNEither they are offering to sign a HIPAA BAA or they aren’t. If they aren’t, its HIPAA-radioactive. HIPAA-eligible for this kind of service is meaningless; when you have PHI…
dragonwriter on HN
Problem already solved by existing dictation and scribe services
From 2 comments
Pretext: My wife is a psychiatrist. Via her, I'm am close friends with many doctors. Also, I know it's super easy to be critical, but I'm going to save you an insane amount of…
SkyPuncher on HNOf course, medical dictation is a whole industry. https://www.bls.gov/ooh/Healthcare/Medical-transcriptionists.htm
sp332 on HN
Requests
Support for on-premise deployment
From 1 comment
I like the idea, but I would like it even more if it was on-prem. The doctors (at least in EU) will be very wary of having their client meeting essentially recorded by a third…
v4dok on HN
Clarify HIPAA compliance and sign BAAs
From 2 comments
Will you sign a BAA for HIPAA covered entities?
BCM43 on HNhow can this be compliant with HIPAA?
avipars on HN
Questions
Is it HIPAA compliant and how are two-party consent states handled
From 1 comment
I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?
avgDev on HN
What is OpenAI's data retention and training policy
From 1 comment
What is OpenAI's privacy policy? How do you ensure the transcription doesn't get stored by OpenAI or used in training their future LLM versions? I'd recommend looking at a fully…
gigel82 on HN
How accurate is it compared to Google Speech-to-Text and human medical secretaries
From 1 comment
> We then transcribe the consultation using a fine-tuned version of Whisper. We've trained Whisper with tens of thousands of hours of medical consultation and medical terms…
cinntaile on HN
Alternatives named
M-Modal, Dragon and telephone transcription services
From 1 comment
Pretext: My wife is a psychiatrist. Via her, I'm am close friends with many doctors. Also, I know it's super easy to be critical, but I'm going to save you an insane amount of…
SkyPuncher on HN
Medical scribes and medical transcriptionists
From 2 comments
That job is known as a medical scribe. https://www.scribeamerica.com/what-is-a-medical-scribe/ > A Medical Scribe is a revolutionary concept in modern medicine. Traditionally, a…
shagie on HNOf course, medical dictation is a whole industry. https://www.bls.gov/ooh/Healthcare/Medical-transcriptionists.htm
sp332 on HN