This month, my electronic medical record platform introduced an artificial intelligence tool to improve documentation of progress notes. Naturally skeptical, I felt certain it would be clunky but tried it out immediately.
The practitioner writes two or three sentences to summarize the session in addition to completing the mental status, risk assessment, intervention techniques, and symptoms. The algorithm integrates information from these sentences with the discrete fields of diagnosis, procedure code, mental status, intervention checklist, risk assessment, and treatment objectives.
The algorithm produces several sentences each for the traditional SOAP (symptom/subjective, objective, assessment, and plan) notes. It creates documentation tha...
