PHI is a real barrier to your wish list, it's harder to get right than most people think and it is very very hard to get right in a distributed environment. An

PHI is a real barrier to your wish list, it's harder to get right than most people think and it is very very hard to get right in a distributed environment. And all the current advances in these general areas (voice recognition, transcription, semantic reasoning, etc.) are leaning heavily on distributed processing. It's definitely a well identified market and there are people working on it, but I haven't seen much progress (not that I'm looking terribly closely at the moment). From the point of the view of the last step, the ML one, I suspect the consenting is as much an issue as the PHI. Getting any real traction on this will likely require massive data sets and significant clinician time to aid training.