Intelligent Clinical Documentation: Harnessing Generative AI for Patient-Centric Clinical Note Generation

Intelligent Clinical Documentation: Harnessing Generative AI for Patient-Centric Clinical Note Generation

Volume 9, Issue 5, May – 2024 | Anjanava Biswas1, Wrick Talukdar2
This paper explores the potential of generative AI to streamline clinical documentation, focusing on generating SOAP (Subjective, Objective, Assessment, Plan) and BIRP (Behavior, Intervention, Response, Plan) notes. The authors present a case study that combines natural language processing (NLP) and automatic speech recognition (ASR) technologies to transcribe patient-clinician interactions and use advanced prompting techniques to generate draft clinical notes using large language models (LLMs). The study highlights the benefits of this approach, including time savings, improved documentation quality, and enhanced patient-centered care. Ethical considerations, such as maintaining patient confidentiality and addressing model biases, are also discussed. The findings suggest that generative AI has the potential to revolutionize clinical documentation practices, alleviating administrative burdens and enabling healthcare professionals to focus more on direct patient care. The paper also addresses challenges such as data quality, privacy, model interpretability, reliability, regulatory compliance, and the need for human oversight. Overall, the integration of generative AI in clinical documentation is seen as a transformative opportunity to improve healthcare delivery and patient outcomes.This paper explores the potential of generative AI to streamline clinical documentation, focusing on generating SOAP (Subjective, Objective, Assessment, Plan) and BIRP (Behavior, Intervention, Response, Plan) notes. The authors present a case study that combines natural language processing (NLP) and automatic speech recognition (ASR) technologies to transcribe patient-clinician interactions and use advanced prompting techniques to generate draft clinical notes using large language models (LLMs). The study highlights the benefits of this approach, including time savings, improved documentation quality, and enhanced patient-centered care. Ethical considerations, such as maintaining patient confidentiality and addressing model biases, are also discussed. The findings suggest that generative AI has the potential to revolutionize clinical documentation practices, alleviating administrative burdens and enabling healthcare professionals to focus more on direct patient care. The paper also addresses challenges such as data quality, privacy, model interpretability, reliability, regulatory compliance, and the need for human oversight. Overall, the integration of generative AI in clinical documentation is seen as a transformative opportunity to improve healthcare delivery and patient outcomes.
Reach us at info@study.space