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I'm a physician with a software background, another physician at my work used ChatGPT to write a compelling appeal for a patient when insurance denied coverage.
by aabajian 4y ago
I'm a physician with a software background, another physician at my work used ChatGPT to write a compelling appeal for a patient when insurance denied coverage. I've started to use it to automatically dictate procedural reports. I provide an example report and tell it to modify the report as needed (e.g. "right iliac bone biopsy report with 11G needle"). Beats tabbing (or F2ing) through autotext fields.
These examples make me think, "ChatGPT for form completion" is the killer app as it applies to law, real estate, medicine, etc.
- VectorLock 4y agoHow were you getting the report from ChatGPT into the form? Sounds like you'd have to tab/F2 anyways to input what ChatGPT says.
- CabSauce 4y agoYou're sending patient information to a third party without any contractual agreement?
- aabajian 4y agoNo patient info is sent. In my colleague's example, you can try out a similar query, "Write an appeal letter to a medical insurance company for a patient who needs a biopsy for a bone lesion given prior unclear diagnosis."
- cardosof 4y agoProbably patients consent to using software to process their data and chatgpt is considered just another software in the stack. Edit: parent poster said no info is sent.
- bfeynman 4y agothat's not how it works, PHI and HIPAA usually supersede a lot of these. That's why you hospitals don't just have everyone opt-out data protections if they want services.
- CabSauce 4y agoThat would require a Business Associate contract between the provider and Open AI.
- lp0_on_fire 4y agoThey probably consent to software that's been validated and managed by their medical provider. I can tell you for sure that I personally wouldn't consent to a a random script thrown together by an MD with leetcode experience that sends your medical data up to an experimental service.
- nl 4y agoWithout a name or other PII this seems like a misplaced concern.
- xordon 4y agoThat is an obviously incorrect assumption, it is possible to de-anonomize most data sets about and there is reason to believe this one is no different. Health data by it's nature is very personal and specific.
- nl 4y agoDe-anonomizing is usually done by combining datasets. That seems unlikely here.
- xmprt 4y agoDoctors publish case studies all the time which contain anonymized data. Presumably those go through reviews to make sure that nothing is being leaked but health data by it's nature is specific but not very personal (at least not identifiable). Also, depending on what you're using ChatGPT for, this is no worse than Googling something which doctors do a lot as well.
- catchnear4321 4y agoThis is the prompt that was listed. “Write an appeal letter to a medical insurance company for a patient who needs a biopsy for a bone lesion given prior unclear diagnosis.” Add an arbitrary ip address and timestamp and you are very far away from anything personally identifying. (Where does your computer suggest you are right now?)
- neilv 4y agoI'd give the colleague a heads-up right away that there's a potential for "hippo violation" there. (Image: a hippo, stomping all over you.) Then we'd make sure that our org/administration understood the risk, through whatever channels are appropriate.
- alfalfasprout 4y agotbh the ChatGPT saga has exposed just how willing people are to send their own/company's/client's/patient's data to a third party without a second thought.
- inportb 4y agoNeat. I'm interested in doing something similar, but involving PHI, so ChatGPT is out of the question. How would one self-host a LLM without a Web Scale™ GPU farm? Is FlexGen (recently featured on HN) the way?