[{"data":1,"prerenderedAt":628},["ShallowReactive",2],{"project-35151881":3},{"id":4,"name":5,"line":6,"line_source":7,"title":8,"url":9,"domain":9,"maker":10,"posted_at":11,"year":12,"points":13,"comments":14,"rank_in_year":15,"shown_in_year":16,"top":17,"tier":18,"category":19,"subcategory":20,"format":21,"keywords":22,"reception":28,"sentiment":29,"stance_mix":30,"scored_comments":34,"aspects":35,"strip":49,"post_text":51,"what":52,"said":87,"maker_in_thread":193,"shape":204,"grid":209,"attempts":590,"same_week":591,"maker_shows":32,"maker_hidden":620,"reader_version":621,"card":622},"35151881","Nabla Copilot","Using GPT-3 and Whisper to save doctors’ time","title","Show HN: Using GPT-3 and Whisper to save doctors’ time",null,"ar7hur",1678803381,2023,117,137,546,3109,18,"notable","ai","clinical documentation ai","cli",[23,24,25,26,27],"clinical notes","medical transcription","whisper","gpt-3","ehr documentation","mixed",-0.11,{"positive":17,"neutral":31,"mixed":32,"critical":33},35,3,31,87,{"idea":36,"execution":39,"privacy":41,"performance":43,"docs":46,"design":47},{"positive":37,"critical":38},11,7,{"positive":40,"critical":40},1,{"positive":40,"critical":42},17,{"positive":44,"critical":45},0,4,{"positive":40,"critical":44},{"positive":44,"critical":48},2,[40,32,48,40,48,40,40,32,40,50,32,32,32,40,48,40,32,40,40,50,32,40,50,40,44,40,44,32,40,32,48,45,40,50,32,40,48,32,50,50],5,"Hey HN,\n\nWe're Alex, Martin and Laurent. We previously founded Wit.ai (W14), which we sold to Facebook in 2015. Since 2019, we've been working on Nabla (https:\u002F\u002Fwww.nabla.com), an intelligent assistant for health practitioners.\n\nWhen GPT-3 was released in 2020, we investigated it's usage in a medical context[0], to mixed results.\n\nSince then we’ve kept exploring opportunities at the intersection of healthcare and AI, and noticed that doctors spend am awful lot of time on medical documentation (writing clinical notes, updating their EHR, etc.).\n\nToday, we're releasing Nabla Copilot, a Chrome ex",{"problem":53,"audience":59,"pricing":9,"motivation":63,"time_to_build":9,"stack":67,"openness":84,"stage":85,"team_size":86},{"value":54,"source":55,"evidence":56},"Doctors spend too much time on medical documentation such as clinical notes and EHR updates","maker",[57],{"id":58},"post",{"value":60,"source":55,"evidence":61},"Doctors and health practitioners",[62],{"id":58},{"value":64,"source":55,"evidence":65},"Doctors spend too much time on documentation",[66],{"id":58},[68,72,76],{"value":69,"source":55,"evidence":70},"Whisper (fine-tuned)",[71],{"id":58},{"value":73,"source":55,"evidence":74},"GPT-3",[75],{"id":58},{"value":77,"source":78,"evidence":79},"Google Cloud Platform","commenter",[80],{"id":81,"by":82,"text":83},"35158678","freshpots","From their main page (https:\u002F\u002Fwww.nabla.com\u002F), the mention HIPAA: Secure and HIPAA-eligible ``` Audio, transcripts, and notes are not stored by Nabla HIPAA-eligible and GDPR…","unknown","launched","team",{"praise":88,"objections":89,"requests":142,"questions":158,"alternatives":180},[],[90,105,120,131],{"value":91,"source":78,"evidence":92},"Privacy concerns about sending patient conversations to a third party cloud",[93,97,101],{"id":94,"by":95,"text":96},"35156494","JohnFen","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…",{"id":98,"by":99,"text":100},"35152480","v4dok","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…",{"id":102,"by":103,"text":104},"35152698","ysavir","I'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?",{"value":106,"source":78,"evidence":107},"Hallucinated or wrong transcription risks patient safety",[108,112,116],{"id":109,"by":110,"text":111},"35152723","NorthOf33rd","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…",{"id":113,"by":114,"text":115},"35156158","norgie","Is 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…",{"id":117,"by":118,"text":119},"35152590","priyanmuthu","My 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?",{"value":121,"source":78,"evidence":122},"HIPAA compliance unclear; HIPAA-eligible wording criticised",[123,124,127],{"id":81,"by":82,"text":83},{"id":125,"by":95,"text":126},"35159028","What does \"HIPAA-eligible\" mean?",{"id":128,"by":129,"text":130},"35164070","dragonwriter","Either 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…",{"value":132,"source":78,"evidence":133},"Problem already solved by existing dictation and scribe services",[134,138],{"id":135,"by":136,"text":137},"35161690","SkyPuncher","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…",{"id":139,"by":140,"text":141},"35152953","sp332","Of course, medical dictation is a whole industry. https:\u002F\u002Fwww.bls.gov\u002Fooh\u002FHealthcare\u002FMedical-transcriptionists.htm",[143,147],{"value":144,"source":78,"evidence":145},"Support for on-premise deployment",[146],{"id":98,"by":99,"text":100},{"value":148,"source":78,"evidence":149},"Clarify HIPAA compliance and sign BAAs",[150,154],{"id":151,"by":152,"text":153},"35152546","BCM43","Will you sign a BAA for HIPAA covered entities?",{"id":155,"by":156,"text":157},"35157935","avipars","how can this be compliant with HIPAA?",[159,166,173],{"value":160,"source":78,"evidence":161},"Is it HIPAA compliant and how are two-party consent states handled",[162],{"id":163,"by":164,"text":165},"35152639","avgDev","I feel uncomfortable knowing doctor would use anything like this. How are 2 party consent states handled? Is this HIPPA compliant?",{"value":167,"source":78,"evidence":168},"What is OpenAI's data retention and training policy",[169],{"id":170,"by":171,"text":172},"35157675","gigel82","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…",{"value":174,"source":78,"evidence":175},"How accurate is it compared to Google Speech-to-Text and human medical secretaries",[176],{"id":177,"by":178,"text":179},"35153600","cinntaile","> 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…",[181,185],{"value":182,"source":78,"evidence":183},"M-Modal, Dragon and telephone transcription services",[184],{"id":135,"by":136,"text":137},{"value":186,"source":78,"evidence":187},"Medical scribes and medical transcriptionists",[188,192],{"id":189,"by":190,"text":191},"35157014","shagie","That job is known as a medical scribe. https:\u002F\u002Fwww.scribeamerica.com\u002Fwhat-is-a-medical-scribe\u002F > A Medical Scribe is a revolutionary concept in modern medicine. Traditionally, a…",{"id":139,"by":140,"text":141},{"comments":50,"answered":32,"key":194},[195,198,201],{"id":196,"text":197},"35155841","I understand your concerns. Our objectives are, on the contrary, to reduce the doctor\u002Fpatient distance that was created by EHRs and all the required administrative processes. We…",{"id":199,"text":200},"35155715","Thanks for your comment. We plan to offer an on-prem option eventually. In the meantime: - we offer a GDPR compliant EU-based hosting option - we don't store anything (no audio,…",{"id":202,"text":203},"35152824","Thanks for your comment. We clearly show a diff to the doctor before updating patient records. We are very explicit that they should check it (and edit if necessary).",{"commenters":205,"max_depth":206,"maker_replies":50,"first_comment_mins":207,"lifespan_hours":208},88,9,37,189,[210,214,218,220,224,226,230,233,236,238,241,244,247,250,253,256,260,262,265,268,271,274,275,279,282,285,287,290,291,294,296,298,301,303,306,308,311,312,316,318,319,320,323,326,328,330,332,334,337,339,340,341,344,346,348,350,352,354,357,358,361,363,365,368,372,376,379,382,385,388,390,393,395,398,402,405,407,410,413,416,419,422,425,427,430,432,434,437,439,441,443,445,448,452,455,458,462,465,466,469,471,474,478,480,484,488,490,493,497,500,505,508,510,514,518,521,524,529,532,537,541,543,545,549,551,554,557,559,561,565,567,571,576,580,582,584,587],[211,44,40,212,213,44],"35152885","project\u002Fcritical\u002Fidea","swatcoder",[215,44,32,216,217,44],"35154143","project\u002Fmixed\u002Fexecution","D13Fd",[196,44,44,219,10,40],"maker\u002Fneutral\u002Fidea",[221,44,44,222,223,44],"35158110","commenter\u002Fneutral\u002Fnone","ttpphd",[94,40,40,225,95,44],"project\u002Fcritical\u002Fprivacy",[227,40,50,228,229,44],"35156611","project\u002Fpositive\u002Fidea","l5t",[231,40,44,222,232,44],"35156752","Veen",[234,40,40,225,235,44],"35157418","jeroenhd",[237,40,40,225,164,44],"35157681",[239,40,50,240,229,44],"35158276","project\u002Fpositive\u002Fprivacy",[242,40,40,225,243,44],"35161496","sebastiennight",[245,40,32,246,229,44],"35169291","maker\u002Fneutral\u002Fprivacy",[248,40,40,212,249,44],"35156781","burntcookie90",[251,40,44,222,252,44],"35157680","anhner",[254,40,32,255,95,44],"35158362","project\u002Fmixed\u002Fprivacy",[257,40,32,258,259,44],"35157690","project\u002Fneutral\u002Fprivacy","1123581321",[261,40,40,225,95,44],"35158338",[263,40,44,264,136,44],"35162162","commenter\u002Fneutral\u002Fprivacy",[266,40,32,258,267,44],"35163623","mannyv",[269,40,40,225,270,44],"35165481","c0m",[272,40,40,225,273,44],"35172580","manv1",[98,48,32,255,99,44],[276,48,44,277,278,44],"35152627","other\u002Fneutral\u002Fnone","agilob",[280,48,32,281,99,44],"35152742","project\u002Fneutral\u002Fperformance",[283,48,44,277,284,44],"35152960","actionfromafar",[286,48,44,222,278,44],"35153791",[288,48,44,222,289,44],"35161935","Spivak",[199,48,44,246,10,40],[292,48,40,225,293,44],"35162109","barnd4",[295,48,44,277,99,44],"35259239",[117,32,32,297,118,44],"project\u002Fneutral\u002Fexecution",[299,32,44,277,300,44],"35152760","jjoonathan",[202,32,44,302,10,40],"maker\u002Fneutral\u002Fexecution",[304,32,50,305,140,44],"35153044","project\u002Fpositive\u002Fexecution",[307,32,44,222,217,44],"35154166",[309,32,32,297,310,44],"35160674","qgin",[163,45,32,258,164,44],[313,45,32,314,315,44],"35152765","project\u002Fneutral\u002Fidea","jimnotgym",[317,45,44,222,164,44],"35152888",[139,45,44,277,140,44],[189,45,44,277,190,44],[321,45,32,258,322,44],"35152850","moomoo11",[324,45,32,258,325,44],"35152892","ceejayoz",[327,45,32,258,164,44],"35152927",[329,45,44,264,95,44],"35159076",[331,45,32,258,136,44],"35161810",[333,45,40,225,136,44],"35161773",[335,45,40,225,336,44],"35157089","rkaregaran",[338,45,32,258,190,44],"35158130",[81,45,32,258,82,44],[125,45,32,258,95,44],[342,45,40,225,343,44],"35161023","meghan_rain",[345,45,40,225,136,44],"35161721",[347,45,44,222,273,44],"35163678",[349,45,44,222,136,44],"35164246",[351,45,44,222,273,44],"35172684",[353,45,44,222,129,44],"35172775",[355,45,32,246,356,44],"35171166","mraison",[128,45,40,225,129,44],[359,45,32,258,360,44],"35170168","egorfine",[109,50,40,362,110,44],"project\u002Fcritical\u002Fperformance",[364,50,44,222,273,44],"35163712",[366,50,32,314,367,44],"35167414","Pigalowda",[369,370,40,212,371,44],"35152630",6,"urduntupu",[373,370,44,374,375,44],"35152669","commenter\u002Fpositive\u002Fidea","hartleybrody",[377,370,50,228,378,44],"35152731","vsareto",[380,370,50,228,381,44],"35152732","stopachka",[383,370,44,374,384,44],"35157634","nharada",[386,370,32,297,387,44],"35158154","thfuran",[389,370,44,277,95,44],"35159106",[391,370,44,277,392,44],"35159834","alach11",[394,370,44,222,136,44],"35161841",[396,38,40,212,397,44],"35152525","orcajerk",[399,38,44,400,401,44],"35152633","commenter\u002Fpositive\u002Fnone","clemailacct1",[403,38,44,222,404,44],"35152656","Shared404",[406,38,44,222,95,44],"35159203",[408,38,50,228,409,44],"35152701","matsemann",[411,38,44,277,412,44],"35152840","sharemywin",[414,38,44,277,415,44],"35153104","CuriouslyC",[417,38,44,277,418,44],"35167133","YeGoblynQueenne",[420,38,40,362,421,44],"35155744","soco",[423,38,44,222,424,44],"35152702","mrtksn",[426,38,44,277,315,44],"35152726",[428,38,44,222,429,44],"35152788","nickphx",[431,38,44,277,315,44],"35152993",[433,38,32,314,429,44],"35152727",[435,38,40,225,436,44],"35152762","trdtaylor1",[438,38,44,222,164,44],"35152800",[440,38,44,222,415,44],"35153247",[442,38,44,222,325,44],"35154517",[444,38,44,277,136,44],"35161876",[446,38,44,222,447,44],"35152812","mr_mitm",[449,38,44,450,451,44],"35157255","other\u002Fcritical\u002Fnone","exclusiv",[453,454,40,212,217,44],"35154209",8,[456,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