AusDoc : This tool is meant to write up clinical notes based on ‘ listening ’ to the consultation . How does it know what ’ s important to record ?

The tool is really just short-cutting the manual part of typing up the initial notes .

The clinician is in control of what is actually saved .

the notes will eventually reflect the doctor ’ s usual note-taking format .

But these changes are specific to that doctor .

The responsibility is still on the clinician to ensure the clinical notes are accurate prior to saving , just as it is today .

They have an opportunity to change or

Danielle Bancroft : The tool is already programmed to know what is clinical

AusDoc : What happens during that 24-hour period ?

Other GPs won ’ t find their consultation notes changing as a result .

The tool is an enhancement to provide

add to the notes before saving . Lyrebird consulted directly with medical defence organisations when developing

information and reject ‘ chitchat ’.

a more detailed base to start from for the

the tool .

That process has improved as the database of doctors with access to the system has increased .

If the occasional non-clinical line creeps in , and the GP deletes it from the consultation notes , the system will ‘ learn ’ not to include similar data in the future .

When I first had it demonstrated to me , we were in a room with 5000 people .

We talked about all kinds of things including the weekend footy with the kids .

Ms Bancroft : During a consult , all audio is transcribed in real-time on the Australian servers of Lyrebird Health , the company that built the software .

At no point in time are audio files saved or permanently stored .

The audio stream from the consultation is completely encrypted and securely transferred to the servers .

What this means is that by the time a consult is finished , all audio has already

consult note .

It does not replace the clinician ’ s involvement or responsibilities .

AusDoc : If this AI assistant notes down something incorrectly , and there are consequences , who is held responsible ?

Ms Bancroft : The integration workflow ensures that draft consult note produced

AusDoc : Given it ’ s based on what ’ s said aloud during the consultation , will GPs need to tweak their style ? For example , voicing blood pressure readings .

Ms Bancroft : In that example , GPs will have to say the blood pressure reading out loud .

There ’ s also a little bit of change

It managed to remove all of that .

been converted to text and there are no

is checked by the clinician first before

required during examinations , with GPs

AusDoc : Does Lyrebird keep all the recordings from GP consults to ‘ teach ’ the AI based on real patients ?

Ms Bancroft : No , the tool captures what is said and immediately removes any identifying patient information from the audio stream while it ’ s being processed , as consultation notes are generated and displayed for the doctor to review .

audio remnants of the conversation . Even if accessed , it can ’ t be tied back to the individual GP or patient . After 24 hours it is removed . Ensuring the recording does not persist or contain personal information minimises the risk of breach or data spill .

AusDoc : What about for the individual GP , the AI ‘ learns ’ what they want and don ’ t want in their notes ?

saving / writing to the database .

There is a confirmation box that prompts users to double-check and confirm the accuracy of their records before they are able to export it to Best Practice .

Lyrebird worked with medicolegal documentation experts when developing the tool .

One [ doctor ] described the depth of information it generates as being 3-4 times greater than what they would ordinarily write .

maybe having to pronounce what they are doing , rather than just chitchat while they check .

AusDoc : What if a GP or patient has a strong accent ?

Ms Bancroft : We ’ ve done work concentrating on different accents .

The more people use the system , the better it ’ s going to get .

Each recording is only available for 24

Crucially , through work with doctors

It also gets to know the individual cli-

hours after the consultation before it ’ s deleted .

Ms Bancroft : As an example , the system generates consultation notes with default

who specialise in the quality of records , there has been a significant increase in

nician : how they speak , how they interact with their patients , and their approaches .

It ’ s purely there for the clinician to check against and validate the notes in that period of time .

It won ’ t be stored forever .

subheadings — symptoms , observations and the like .

If a GP removes certain subheadings they don ’ t use , or adds new subheadings ,

documentation quality when compared with notes manually recorded by a GP .

On average , less than 3 % of the output text that Lyrebird generates is being edited .

AusDoc : Will GPs need to secure patient consent specifically before using the tool for note-taking ?