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CocktailAI : Discharge Summary Generator Using Template Document and Retrieval-Augmented Generation, and Hybrid-Cloud
Tomohiro Kuroda1, Keina Sado2, Kenji Suda2
1Division of Medical Information Technology and Administration Planning, Kyoto University Hospital, Kyoto, Japan.
None:
The recent advancement of artificial intelligence (AI) technologies initiates health data science research. The hospital information system of university hospitals should enable easy access to such new technologies without harming data safety to accelerate the research. Kyoto University Hospital developed hybrid-cloud hospital information system to let researchers apply any cloud-enabled tools to clinical data. The platform successfully initiated AI research including a discharge summary generator. Emerging generative AI technology is expected to be a silver bullet to decrease documentation tasks of clinical staff. On the other hand, the straight-forward application of generative AI may cause several errors including the hallucination. We simply introduce retrieval-augmented generation to find the key information from inpatient records to finalized template document including the key information. The developed system, named CocktailAI, is applied for daily clinical activity to generate discharge summary for referral letters for a month. 56% of generated documents are published almost as it is and other 36% of generated documents are applied with a few additional sentences. In total, 92% of referral letter writing task was supported by the developed system.
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Graphic Sheet Documentation:
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Integrated Healthcare System

