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autoexectoday at 3:36 AM1 replyview on HN

> Yes. This is what medical records are. They've been kept by doctors for a reason.

Not every conversation. Historically, one of the nice things about doctors is that they're the ones filtering what gets included in your medical record. They decide what is medically relevant and what can remain confidential. Doctors understand that not everything discussed needs to be included in your file. Sometimes that really is just small talk, sometimes it's even medical concerns, questions, or requests for advice and still not all of it needs to go into your file and much of it would only clutter it up anyway.

Any system that stores an entire visit as audio or video long into the future (much easier/temping to do in telehealth settings) is a terrible system. "We may one day need to be able to verify if what AI wrote is real" is a terrible reason to change that.

Doctors (and increasingly patients) understand that a medical record can remain for your entire life. It will probably be seen by many different people within that time for valid reasons but medical records also get leaked/stolen/sold/illegally accessed. Patients need to be able to speak freely with their doctors and often depend on their discretion. Knowing that your every word will be recorded and kept in case somebody 10 years later has a question about what AI wrote in your file could keep people from being open and honest with their doctors.

> Except the industry (both the AI vendors and healthcare) are going YOLO¹ and relying on AI anyway.

Unless we get strong regulations to prevent it I'm afraid that you're right and that this is going to be a problem we experience in a lot of industries and areas besides healthcare. We see it happening in the justice system for example and it's already ruining people's lives.


Replies

alteromtoday at 5:22 AM

>Not every conversation. Historically, one of the nice things about doctors is that they're the ones filtering what gets included in your medical record.

We're in complete agreement here.

If we're not talking about an audio/video recording (a thing that nobody needs), the act of producing a record of a conversation involves choosing what goes into it.

We both agree that not every words that was said needs to go there. By far.

I guess it would be correct to say that there needs to be a record of every medical visit, but nobody needs a recording.