{"meta":{"exportedAt":"2026-10-31T07:33:16.024Z","formatVersion":2,"selection":{"q":"discharge-instructions","system":"","harm":"","context":"","country":"","role":"","relation":"contextual","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":0,"languages":1,"unknownLocation":1,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":1,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2026-california-patient-says-urgent-care-discharge-instructions-were-printed-chatgpt-answers-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'The paperwork reportedly turned out to be written by ChatGPT.'; 'showing that the paperwork consisted of printed ChatGPT responses. The documents also included what appeared to be previous chat prompts, with labels such as'","relation":"supports","source_id":"s2"}],"assertion":"The patient says the discharge paperwork and at-home treatment plan she received after seeking care consisted of printed ChatGPT responses, including what appeared to be earlier chat prompts with labels such as Aftercare Instruction Request.","causal_attribution":"The patient's account as relayed by The Nerd Stash; the clinic's account is not known."},{"id":"c2","status":"reported","evidence":[{"locator":"'had i blindly followed, would have likely ended up in bowel perforation given my history, genetic disorder, scar tissue and previous surgeries** source : other doctors who I asked'","relation":"supports","source_id":"s1"},{"locator":"'She stressed that her medical needs required professional attention rather than advice generated by ChatGPT.'","relation":"supports","source_id":"s2"}],"assertion":"The patient says that, had she followed the instructions blindly, they would likely have led to bowel perforation given her history, genetic disorder, scar tissue and previous surgeries, citing other doctors she asked.","causal_attribution":"The patient's assessment, attributed by her to other doctors she consulted; no clinician is quoted directly."},{"id":"c3","status":"reported","evidence":[{"locator":"'referring to her decision not to follow the instructions'","relation":"supports","source_id":"s2"}],"assertion":"The patient did not follow the instructions.","causal_attribution":"The patient's account as relayed."},{"id":"c4","status":"reported","evidence":[{"locator":"'identifying the facility in a comment as allegedly'","relation":"supports","source_id":"s2"}],"assertion":"The patient identified the facility in a comment, which the report names as allegedly an urgent-care clinic.","causal_attribution":"Identification made by the patient in a comment, relayed with the qualifier 'allegedly'; the record does not name the clinic."}],"effects":[{"label":"discharge instructions printed from ChatGPT that, by the patient's account, would likely have caused serious harm given her condition","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.tiktok.com/@tara_rule/video/7701541220853533966","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-31: the caption and creation time of the video were read from the TikTok page data (HTTP 200). The spoken content of the video was not transcribed by the agent; it is known only through the relay. No translation and no human reviewer.","independence_group":"patient-tiktok-chatgpt-discharge"},{"id":"s2","url":"https://thenerdstash.com/outrage-after-california-woman-receives-hospital-discharge-papers-written-by-chatgpt-begging-you-to-speak-with-a-lawyer/","kind":"news_report","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-31 (HTTP 200, full article). The report relays the patient's videos, caption and comments; it is not independent of her account. No translation and no human reviewer.","independence_group":"patient-tiktok-chatgpt-discharge"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["Which clinic it was (the identification rests on the patient's comment) and the clinic's account.","Who generated the ChatGPT text and whether a clinician reviewed it before it was given to her.","The date of the visit and the condition she sought care for.","The exact content of the instructions; the agent did not transcribe the video and relies on the caption and the relay."],"geography":{"basis":"The Nerd Stash describes the patient as a California woman, which places the affected person in the US. The facility is identified only through the patient's comment as relayed, so no event country is recorded from residence.","court_countries":[],"event_countries":[],"affected_person_countries":["US"]},"publication":{"basis":"Published under the public-forum rule as a first-person account of a clinic handing a patient printed ChatGPT output as her discharge instructions, which she says other doctors judged likely to cause serious harm given her condition. Described with attribution and without corroboration; the clinic's response is unknown.","reviewed_on":"2026-10-31"},"ai_involvement":{"basis":"The patient says the clinic's discharge and aftercare instructions for her were printed ChatGPT responses, and the relay describes the printouts as including earlier chat prompts with labels such as Aftercare Instruction Request. The AI output is therefore the text of her treatment plan, which the clinic used in discharging her, and the reported harm is that the plan was, by her account and that of other doctors she asked, unsafe for her condition. Who generated the text and whether a clinician reviewed it are not stated.","status":"reported"},"person_relations":["informed_decision_about"]},"name":"California patient says urgent-care discharge papers were printed ChatGPT answers that other doctors told her were unsafe for her condition (first-person)","summary":"In a TikTok video posted on 28 October 2026, a woman described as living in California says the discharge paperwork and at-home treatment plan she received after a visit for care consisted of printed ChatGPT responses, which, according to a 30 October report by The Nerd Stash, included what appeared to be earlier chat prompts with labels such as \"Aftercare Instruction Request\". In a comment she identified the facility, which the report names only as allegedly an urgent-care clinic. She describes herself as medically complex, with a rare genetic disorder. In her caption she writes that, had she followed the instructions blindly, they would likely have led to bowel perforation given her history, citing other doctors she asked. She did not follow them. The clinic's account, the clinician involved and the date of the visit are not known.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2026-10-28","aiSystem":"ChatGPT, as the patient identifies the printed responses she was given as discharge paperwork; who at the clinic generated them is not stated","aiProduct":"ChatGPT (reported)","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["other_material_harm"],"harmOutcomeSummary":"A patient says the discharge instructions an urgent-care clinic gave her were printed ChatGPT output that, by her account and that of other doctors she consulted, would likely have caused bowel perforation given her condition; she did not follow them (first-person account, uncorroborated).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient who received the paperwork. Viewers and commenters are not counted.","victimAgeRange":"adult","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://www.tiktok.com/@tara_rule/video/7701541220853533966","primarySourceLabel":"TikTok video and caption by the patient, 28 Oct 2026: discharge instructions printed from ChatGPT","firstPublishedAt":"2026-10-31T03:08:45.567738+00:00","updatedAt":"2026-10-31T03:08:45.567738+00:00","scopeVersion":"facts-v3","tags":["first-person","tiktok","chatgpt","health","discharge-instructions"]}]}