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viraptor 5 hours ago

Having experience working with medical software, I call BS on this article as presented, unless it was some minimal support app. When you deal with patient records, there's so much of local law, communication, billing rules and other things baked in that you CANNOT vibe code an app to handle even 1% of that. Your staff would rebel and your records would completely fall apart. Even basic things like appointment bookings have a HISTORY and it's a full blown room scheduling system that multiple people with different roles have to deal with (reception and providers). It takes serious time to even reverse engineer the database of existing apps, and you first have to know how to access the database itself. Then you'll see many magic IDs and will have to reverse engineer what they mean. (yes, LLMs are good at reverse engineering too, but you need some reference data and you can't easily automate that)

I have decompiled database updaters to get the root password for the local SQL Server instance with extremely restricted access rules. (can't tell you which one...) I have also written many applications auto-clicking through medical apps, because there's no other way to achieve some batch changes in reasonable time. I have a lot of collateral knowledge in this area.

Now for the "unless it was some minimal support app" - you'll see lots of them and they existed before LLMs as well. They're definitely not protecting patient data as much as other systems. If the story is true in any way, it's probably this kind of helper that solves one specific usecase that other systems cannot. For example I'm working on an app which handles some large vaccination events and runs on a side of the main clinic management application. But accidentally putting that online, accessible to everyone, and having actual patient data imported would be hard-to-impossible to achieve for a non-dev.

For the recording and transcription, there are many companies doing that at the moment and it would be so much easier to go with any of them. They're really good quality these days.