Discharge Documentation Generator

door UMC Utrecht

AI Application

Laag vertrouwen

The Discharge Documentation Generator is an in-house tool of UMC Utrecht's Digital Health team that drafts the course-of-admission section of clinical discharge letters, which go to the next treating physician, often the GP. UMC Utrecht says it is in use in the Intensive Care Unit and the Neonatal ICU; its public code repository says it was developed for the ICU, NICU and Cardiology. Notes from the patient's record are sent to a large language model, which writes a draft summary of the admission. UMC Utrecht says the draft is always reviewed and completed by a physician (assistant) and checked by a supervisor. Its model card warns that the model can omit relevant facts, add irrelevant ones or hallucinate, and must not be used for diagnosis or clinical reasoning. ChipSoft says the module is built into HiX, marks AI-generated text and logs edits. UMC Utrecht says the model runs in a secure environment on a European server it manages, that OpenAI and Microsoft have no access to patient data, and that data are not used to train the model.