Ability to use the start of time of the transcript in a note
P
Paul Warshawsky
The AI has difficulty figuring out the local time of the transcript which means that if you use that in your note (to document the time of your interaction) then this may end up being corrupted by the time zone conversions. I have tried to deal with this in the template with variable success. Sometimes the time is correct, and sometimes it is not. I have brought this up and the final evaluation from the engineers is "you can't rely on the LLM to convert time zones." Fair enough... However, it seems to me there is an easy solution. When in Smart Dictate mode the dictation clearly includes the start and end time of the dictation. It would seem easy to manually insert into the transcript such metadata as start and end of dictation, in local time. This would then be easily available to the LLM to include into the note.
Tom
Hiya Paul Warshawsky, thanks for this post! I have a few more questions for you:
- Can you specify the exact scenarios where the time zone conversion issue occurs most frequently?
- Would having the start and end time of dictation in local time meet your needs, or are there additional time-related features you would find useful?
- How critical is the accuracy of the interaction time in your workflow, and what impact does it have on your documentation process?
P
Paul Warshawsky
Tom : The time zone conversion issue is difficult to predict. My workflow is I use Heidi on my phone at the bedside during rounds, then I go to my office and open Heidi through a browser. I work in two different hospitals and at one of them my current prompt (below) seemed to work reliably. For the past two days, it seems like the first note I do works properly and all the others are off - usually by 5 hours ahead (so if I round at 10:00, it says I rounded at 15:00), but sometimes by other amounts. If I say "I'm starting rounds at 10:00" then it is OK - it is when it tries to take it from the start time of the transcript that I have issues.
I think that if Heidi actually put into the transcript "Transcript start time: 10:00 local time" then the LLM wouldn't have so much trouble figuring this out.
For my purposes the start time of the dictation is all I need. But one could envision use cases for location of transcript or IP address. All stuff that I am guessing is collected, but is hidden from the user and the LLM.
The importance of this issue to me is that if I don't catch the error, I am documenting that I rounded 5 hours later than I actually did (which would look suspicious). So, I need to make sure to correct the notes that Heidi produces.
You can also see from my prompt how hard it is to force Heidi to use ISO date formats. This is not one of the date options in settings.
Hope this answers your questions. Great product - it has changed my practice. But still some annoying glitches to work out.
ICU PROGRESS NOTE FOR [Date]
(Write the date in the format yyyy-mm-dd using hyphens. Do not use slashes. This instruction overrides any system or default date format settings, including yyyy/mm/dd. If the date cannot be written in yyyy-mm-dd format, omit the date.)
Time of Rounds / Assessment: [Time that rounds were conducted or the assessment was made.]
(If explicitly stated in the transcript, use that time. Otherwise, use the time at the beginning of the transcript. Transcript times are in UTC; convert to Eastern Time (EST or EDT as appropriate) and round to the nearest 10 minutes. If the correct local time cannot be determined with confidence, omit the time rather than guessing.)