{"meta":{"exportedAt":"2026-10-26T07:16:51.408Z","formatVersion":2,"selection":{"q":"medical-record","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":4,"coverage":{"cases":4,"countries":2,"languages":2,"unknownLocation":2,"locationPending":0,"unknownLanguage":0,"unknownDate":1,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":0,"contextualRelations":4,"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":"2025-london-gp-practice-ai-generated-record-summary-falsely-listed-diabetes-patient-invited-to-diabetic-eye-screening","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'the patient noticed the entry that had introduced the diabetes diagnosis was listed as a summary that had been “generated by Annie AI.”'; 'it said he had presented with chest pain and shortness of breath, attributed to a “likely angina due to coronary artery disease.”'; 'also noted the patient had been diagnosed with Type 2 diabetes late last year and was currently on a series of medications'; 'fictitious “Health Hospital” located on “456 Care Road” in “Health City.”'","relation":"supports","source_id":"s1"}],"assertion":"An entry in the patient's GP record, listed as a summary 'generated by Annie AI', stated that he had presented with chest pain and shortness of breath attributed to likely angina due to coronary artery disease, that he had been diagnosed with type 2 diabetes and was on medications with dosage details, and gave the source document's address as a fictitious 'Health Hospital' on '456 Care Road' in 'Health City'.","causal_attribution":"Contents of the record as the patient and Fortune, which reviewed the records, report them; the record itself was not inspected."},{"id":"c2","status":"reported","evidence":[{"locator":"'However, none of these details were accurate, according to the patient and several other medical records reviewed by Fortune.'; 'The record appeared around the same time he had attended the hospital for a severe case of tonsillitis. However, the record in question made no mention of tonsillitis.'","relation":"supports","source_id":"s1"}],"assertion":"According to the patient and other medical records reviewed by Fortune, none of these details was accurate; the entry appeared around the time he had attended hospital with tonsillitis, which it did not mention.","causal_attribution":"The patient's account and Fortune's review of other records."},{"id":"c3","status":"reported","evidence":[{"locator":"'receiving a letter inviting him to a diabetic eye screening'; 'He had never been diagnosed with diabetes or shown any signs of the condition.'; 'briefly worried that he had been unknowingly diagnosed with the condition, before concluding the letter must just be an admin error'; 'a nurse questioned the diagnosis'; '“He showed me the notes on the system, and they were AI-generated summaries.'","relation":"supports","source_id":"s1"}],"assertion":"The patient received a letter inviting him to diabetic eye screening although he had never been diagnosed with diabetes; he briefly worried he had been diagnosed without knowing, and the next day a nurse at a routine blood test questioned the diagnosis and showed him AI-generated summaries in his notes.","causal_attribution":"The patient's account to Fortune."},{"id":"c4","status":"reported","evidence":[{"locator":"'the fictitious AI-generated record appears to have had downstream consequences, with the patient’s invitation to attend a diabetic eye screening appointment presumedly based on the erroneous summary.'","relation":"supports","source_id":"s1"}],"assertion":"Fortune writes that the screening invitation was presumably based on the erroneous AI-generated summary.","causal_attribution":"Fortune's hedged inference linking the summary to the invitation; no source shows how the invitation was generated."},{"id":"c5","status":"reported","evidence":[{"locator":"'employs a “limited use of supervised AI” and the error was a “one-off case of human error.”'; 'a medical summariser had initially spotted the mistake in the patient’s record but had been distracted and “inadvertently saved the original version rather than the updated version [they] had been working on.”'; 'Anima only suggests codes and a summary to a human reviewer in order to improve safety and efficiency.'","relation":"supports","source_id":"s1"}],"assertion":"An NHS representative told Fortune the practice makes limited use of supervised AI, that Anima only suggests codes and a summary to a human reviewer, and that the error was a one-off human error: a medical summariser had spotted the mistake but, distracted, saved the original version rather than the updated one.","causal_attribution":"Counterevidence and context: the NHS account places the failure in human review of the AI-generated summary."},{"id":"c6","status":"reported","evidence":[{"locator":"'The company behind the technology, Anima Health, did not respond to Fortune’s questions about the issue.'","relation":"supports","source_id":"s1"}],"assertion":"Anima Health did not respond to Fortune's questions.","causal_attribution":"Fortune's statement about the vendor's response."}],"effects":[{"label":"false diabetes and heart-disease entries in his GP record and an unwarranted diabetic eye-screening invitation that briefly worried him","claim_id":"c3","direction":"negative"}],"sources":[{"id":"s1","url":"https://fortune.com/2025/07/20/uk-health-service-ai-tool-false-diagnoses-patient-screening-nhs-anima-health-annie/","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-26 (full article); no translation.","independence_group":"fortune-2025-07-20"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health","public_services"],"unknowns":["The date of the record entry and of the screening invitation; Fortune says only that the patient recently received the letter.","Whether the invitation was generated from the coded diagnosis in the summary; Fortune presumes so.","Whether the record has been corrected, and whether any complaint, practice review or regulator action followed.","The name and location of the GP practice."],"geography":{"basis":"Fortune describes the patient as London-based and his record as held by an NHS GP practice; the NHS representative speaks for the practice. The practice's exact location is not stated.","court_countries":[],"event_countries":["GB"],"affected_person_countries":["GB"]},"publication":{"basis":"Published as an AI-generated false record about a patient: Fortune reports, from records it reviewed and the patient's account, that a summary generated by Anima's Annie stated diabetes and heart disease he did not have and that a diabetic eye-screening invitation presumably followed. The NHS account of a human review error is preserved.","reviewed_on":"2026-10-26"},"ai_involvement":{"basis":"Fortune reports, from the patient's records it reviewed, that the entry introducing the diabetes diagnosis was listed as a summary 'generated by Annie AI' and contained false diagnoses, medications and a fictitious hospital address; the NHS representative confirms that Anima suggests a summary to a human reviewer and that the reviewer saved the original version instead of a corrected one. Fortune writes that the diabetic eye-screening invitation was presumably based on that summary. The link from the summary to the invitation is Fortune's inference, and the NHS attributes the failure to human error in review.","status":"reported"},"person_relations":["made_claim_about"]},"name":"London: AI-generated GP record summary falsely listed diabetes, and a healthy patient was invited to diabetic eye screening, Fortune reports","summary":"Fortune reported on 20 July 2025 that a London patient, a healthy man in his mid-20s, had recently received a letter inviting him to diabetic eye screening although he had never been diagnosed with diabetes. He told Fortune he briefly worried he had been diagnosed without knowing, then assumed an admin error. The next day a nurse at a routine blood test questioned the diagnosis and showed him the notes on the system, which were AI-generated summaries. In his full records, which Fortune reviewed, the entry that introduced the diagnosis was listed as a summary 'generated by Annie AI', the tool of Anima Health. It said he had presented with chest pain and shortness of breath from likely angina due to coronary artery disease, that he had been diagnosed with type 2 diabetes and was on medications with dosages, and it gave the source document's address as a fictitious 'Health Hospital' on '456 Care Road' in 'Health City'. According to the patient and other records Fortune reviewed, none of these details was accurate; the entry appeared around the time he had attended hospital with tonsillitis, which it did not mention. Fortune writes that the invitation was presumably based on the erroneous summary. An NHS representative told Fortune the practice makes limited use of supervised AI, that Anima only suggests codes and a summary to a human reviewer, and that the error was a one-off human error: a summariser had spotted the mistake but, distracted, saved the original version instead of the corrected one. Anima Health did not respond to Fortune.","incidentKind":"single_event","incidentDatePrecision":"unknown","exposurePattern":"single_interaction","reportedDate":"2025-07-20","aiSystem":"Annie, Anima Health's AI tool in a document management system used by the GP practice, which according to the NHS representative suggests codes and a summary of incoming documents to a human reviewer; the record entry was listed as 'generated by Annie AI'","aiProduct":"Anima Annie","aiCompany":"Anima Health","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress","other_material_harm"],"harmOutcomeSummary":"According to Fortune, an AI-generated summary saved to a London patient's GP record falsely stated diabetes, medications and likely angina, and he received a diabetic eye-screening invitation that Fortune says was presumably based on it; he told Fortune he briefly worried he had been diagnosed without knowing.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient whose GP record carried the false AI-generated summary and who received the screening invitation.","victimAgeRange":"adult","jurisdiction":"GB","platformType":"other","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://fortune.com/2025/07/20/uk-health-service-ai-tool-false-diagnoses-patient-screening-nhs-anima-health-annie/","primarySourceLabel":"Fortune, UK health service AI tool generated a set of false diagnoses for one patient, 20 July 2025","firstPublishedAt":"2026-10-26T03:10:51.711656+00:00","updatedAt":"2026-10-26T03:10:51.711656+00:00","scopeVersion":"facts-v3","tags":["primary-care","medical-record","ai-summary","screening-invitation","nhs"]},{"id":"2025-shanghai-yangpu-man-used-ai-faked-food-poisoning-medical-records-to-extort-restaurants-convicted","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'要求商家赔偿2000元医疗费，否则将投诉和曝光'; '最终转账赔付'","relation":"supports","source_id":"s1"},{"locator":"'店家赔了钱'","relation":"supports","source_id":"s3"}],"assertion":"A customer told a Yangpu barbecue restaurant he had fallen ill after eating there, produced a hospital visit record and invoice, demanded 2,000 yuan in medical costs under threat of complaints and publicity, and the restaurant paid.","causal_attribution":"Police account relayed by Shangguan; the Procuratorate Daily feature gives the same episode briefly. Different reporting chains on the same police case; marked reported because the details (amount, threat) come from the police account."},{"id":"c2","status":"reported","evidence":[{"locator":"'材料均系伪造'; '利用AI软件对图片进行篡改，替换姓名、调整日期、伪造金额'","relation":"supports","source_id":"s1"},{"locator":"'从未有过相关就医记录'; '于是用手机AI工具生成了虚假材料'","relation":"supports","source_id":"s2"}],"assertion":"Police found the man had no hospital record and the materials were forged; police say he confessed to altering images of other people's medical records with AI software, replacing the name, date and amount.","causal_attribution":"The AI use rests on the man's admission as reported by police (Shangguan) and in China Voice's report of the investigation (Xinhua). The tool is not named, and the accounts differ on whether existing record images were altered or materials generated."},{"id":"c3","status":"reported","evidence":[{"locator":"'成功敲诈勒索两起，未遂两起，非法获利2500元'","relation":"supports","source_id":"s1"},{"locator":"'去年11月第一次索赔成功后，一个月内他又以同样方式对四家餐厅提出索'","relation":"supports","source_id":"s2"}],"assertion":"Police say he succeeded twice and failed twice, obtaining 2,500 yuan; Xinhua reports that after a first successful claim in November of the previous year he made similar claims against four more restaurants within a month.","causal_attribution":"Counts come from the police account (Shangguan) and the China Voice report; they are not reconciled (two plus two versus one plus four), so the record keeps both."},{"id":"c4","status":"reported","evidence":[{"locator":"'上海市杨浦区人民法院审理认定'; '判处拘役四个月、缓刑四个月，并处罚金2000元'","relation":"supports","source_id":"s2"},{"locator":"'利用AI技术伪造就医材料、恶意投诉、敲诈勒索商家的案件依法提起公诉'; '法院审理后以敲诈勒索罪判处'; '利用AI软件生成急性肠胃炎诊断证明和逼真的呕吐物照片'","relation":"supports","source_id":"s3"}],"assertion":"The Yangpu District People's Procuratorate prosecuted him in June 2026, and the Yangpu District People's Court convicted him of extortion and sentenced him to four months' criminal detention, suspended for four months, and a 2,000 yuan fine; the Procuratorate Daily says he used AI software to generate gastroenteritis diagnosis certificates and vomit photos.","causal_attribution":"Two reporting chains give the same sentence; both relay the court outcome and the judgment itself was not read, so the claim is reported."}],"effects":[{"label":"restaurants paid compensation demanded with AI-forged medical records (police: 2,500 yuan from two successful claims)","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.shobserver.cn/sgh/detail?id=1713109","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-17; no human reviewer inspected the text. Shangguan News report of the Yangpu public security sub-bureau's account, 26 February 2026.","independence_group":"yangpu-police-account-2026-02"},{"id":"s2","url":"https://app.xinhuanet.com/news/article.html?articleId=20260616b5cfed558eda4c739780064335734766","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-17; no human reviewer inspected the text. Xinhua client carry of a China Media Group China Voice report (reporters named in the text), 16 June 2026, drawing on the police investigation and the court judgment.","independence_group":"cmg-china-voice-2026-06"},{"id":"s3","url":"https://www.chinanews.com.cn/fz/2026/10-14/10714250.shtml","kind":"news_report","access":"read","language":"zh","translation_note":"Read in Chinese and translated by the research agent (an AI) on 2026-10-17; no human reviewer inspected the text. China News Service carry of a Procuratorate Daily feature ('来源：检察日报'), 14 October 2026.","independence_group":"procuratorate-daily-2026-10"}],"version":1,"ai_roles":["others_use"],"contexts":["work","justice"],"unknowns":["The AI tool used, and whether it altered existing record images or generated documents and photos from text.","How many restaurants were targeted and paid: the police account gives two successful and two failed claims, Xinhua a first claim plus four more within a month.","The date of the judgment; the text of the judgment was not read."],"geography":{"basis":"The restaurants are in Yangpu district, Shanghai, and the Yangpu police, procuratorate and court handled the case (Shangguan, Xinhua, Procuratorate Daily).","court_countries":["CN"],"event_countries":["CN"],"affected_person_countries":["CN"]},"publication":{"basis":"Published as a contextual case (made_claim_about): Yangpu police say a man used AI software to forge medical records claiming food poisoning and obtained 2,500 yuan from restaurants, which he admitted; the Yangpu court convicted him of extortion. Three reporting chains (police account, China Voice, Procuratorate Daily).","reviewed_on":"2026-10-17"},"ai_involvement":{"basis":"Yangpu police say the man confessed to altering images of other people's medical records with AI software, changing the name, date and amount and adding a beef food-poisoning note, after the hospital confirmed he had no record (Shangguan). China Voice (Xinhua) says he used an AI tool on his phone to generate the false materials, and the Procuratorate Daily says he used AI software to generate diagnosis certificates and vomit photos and was prosecuted for using AI to forge medical materials. The AI output is the forged documents and photos asserting that the restaurants' food had made him ill (made_claim_about), which the restaurants relied on when they paid. The tool is not named.","status":"supported"},"person_relations":["made_claim_about"]},"name":"Shanghai court convicts a man who, police say, used AI software to fake food-poisoning medical records and extort restaurants into paying compensation","summary":"Police in Yangpu district, Shanghai, say a customer extorted restaurants with medical records he had forged using AI software; Xinhua dates his first successful claim to November 2025. In the police account (Shangguan News, 26 February 2026) he claimed to have fallen ill after eating at a barbecue restaurant, showed a hospital visit record and medical invoice, and demanded 2,000 yuan in medical costs, threatening complaints and publicity; the restaurant paid. Police checked with other diners and the hospital, found he had no hospital record and the materials were forged, and say he confessed to using AI software to alter images of other people's medical records, replacing the name, date and amount. Police say he succeeded twice and failed twice, obtaining 2,500 yuan, and that he also filed complaints to market regulators with the forged material to pressure the restaurants. According to Xinhua's June report and the Procuratorate Daily, the Yangpu District People's Court convicted him of extortion and sentenced him to four months' criminal detention, suspended for four months, and a 2,000 yuan fine.","incidentDate":"2025-11-01","incidentKind":"bounded_series","incidentDatePrecision":"month","exposurePattern":"unknown","reportedDate":"2026-02-26","aiSystem":"AI software on the man's phone that, according to Yangpu police, he used to alter images of other people's medical records (name, date, amount) and, according to later reports, to generate gastroenteritis diagnosis certificates, receipts and vomit photos; the tool is not named","aiProduct":"Unidentified image tool","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["financial_loss"],"harmOutcomeSummary":"According to Yangpu police, restaurants paid compensation demanded with AI-forged medical records: a barbecue restaurant paid 2,000 yuan, and the man obtained 2,500 yuan in total from two successful claims, with two more attempts failing.","frameworkFacets":[],"causationStatus":"established","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"partial","affectedCountEvidence":"Police say two extortions succeeded and two failed. One payer is described: the barbecue restaurant's person in charge, who paid 2,000 yuan (Shangguan). The second paying restaurant's people are not described, so the count is 1 plus an unquantified remainder.","victimAgeRange":"unknown","jurisdiction":"CN","platformType":"other","outcomeType":"criminal_charges","outcomeStatus":"resolved","primarySourceUrl":"https://www.shobserver.cn/sgh/detail?id=1713109","primarySourceLabel":"Shangguan News, 26 February 2026: Yangpu police on a barbecue restaurant that paid 2,000 yuan over forged medical records","firstPublishedAt":"2026-10-17T03:18:51.274802+00:00","updatedAt":"2026-10-17T03:18:51.274802+00:00","scopeVersion":"facts-v3","tags":["fake-medical-records","food-poisoning-claim","extortion","restaurants","criminal-conviction","shanghai","china","made-claim-about"]},{"id":"2026-patient-says-doctors-ai-appointment-summary-listed-a-medication-never-taken-first-person","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'My doctor asked me if I minded his use of AI to summarize summary my appt yesterday'; 'then I consented because I wanted to see the summary it generated'","relation":"supports","source_id":"s1"}],"assertion":"The patient says their doctor asked whether they minded his use of AI to summarise the appointment, and that they consented, after stating their objections, because they wanted to see the summary it generated.","causal_attribution":"Patient's account of the consent conversation; the doctor's account is not known."},{"id":"c2","status":"reported","evidence":[{"locator":"'It listed a medication I don't take and have never taken on my list of current meds'; 'I didn't check it until it was posted in the portal'","relation":"supports","source_id":"s1"}],"assertion":"The patient says the AI-generated summary, posted in the patient portal, listed among their current medications a drug they do not take and have never taken.","causal_attribution":"The patient attributes the wrong entry to the AI-generated summary; the summary itself was not published and the product is not named."},{"id":"c3","status":"reported","evidence":[{"locator":"'I have messaged him--so I don't know yet!'","relation":"supports","source_id":"s1"}],"assertion":"The patient says they messaged the doctor about the error and did not yet know the response.","causal_attribution":"Patient's reply on 14 October 2026; the patient's later update (c6) reports that the doctor says the record has been corrected."},{"id":"c4","status":"reported","evidence":[{"locator":"'It had not made its way to the official list of meds, but it was listed in the clinical notes'","relation":"supports","source_id":"s2"}],"assertion":"The patient says the wrong medication had not made its way to the official list of medications but was listed in the clinical notes.","causal_attribution":"Patient's reply qualifying where the wrong entry appeared; the clinical notes and the official list are not public."},{"id":"c5","status":"reported","evidence":[{"locator":"'My doctor and I agree that the medication was likely inserted because the AI \"heard\" a specific other thing he said as the name of that medication'","relation":"supports","source_id":"s3"}],"assertion":"The patient says they and the doctor agree that the medication was likely inserted because the AI took a specific other thing the doctor said for the name of that medication.","causal_attribution":"The patient's report of an explanation shared with the doctor; the doctor's own words, the recording and the summary are not public."},{"id":"c6","status":"reported","evidence":[{"locator":"'He tells me record has been corrected'","relation":"supports","source_id":"s3"}],"assertion":"The patient says the doctor tells them the record has been corrected.","causal_attribution":"Known only from the patient's account of what the doctor said; the corrected record is not public."},{"id":"c7","status":"reported","evidence":[{"locator":"'an error introduced into my own medical record by a bot that was not caught by my doctor'","relation":"supports","source_id":"s4"}],"assertion":"The patient says the error introduced into their medical record was not caught by the doctor.","causal_attribution":"The patient's statement; whether and how the doctor reviewed the summary before it was posted is not described."}],"effects":[{"label":"a medication never taken listed among current medications in an AI-generated appointment summary (patient's account)","claim_id":"c2","direction":"negative"}],"sources":[{"id":"s1","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15: the root post and its full reply thread retrieved through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The author's account asks that posts not be shown to logged-out viewers, so the link may require a Bluesky login; the author's handle and name are not recorded.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s2","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxue4dekyk2w","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-15 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (20:10 UTC 14 Oct) to another user's quote of the root post; same author as s1, so the same source group.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s3","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxwynp5c4c2x","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread and getAuthorFeed, HTTP 200); no translation and no human reviewer. The patient's own quote-post of the root post (21:23 UTC 15 Oct), so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"},{"id":"s4","url":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxypsosgxk2r","kind":"social_media_post","access":"read","language":"en","translation_note":"Read in English by the research agent (an AI) on 2026-10-21 through the public Bluesky API (app.bsky.feed.getPostThread, HTTP 200); no translation and no human reviewer. The patient's own reply (13:50 UTC 16 Oct) to another user in the root thread, so the same source group as s1.","independence_group":"bluesky-patient-ai-appointment-summary-medication"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI product the doctor used and what review, if any, the doctor carried out before the summary was posted to the portal.","The doctor's own account of the error and of the correction, which are known only through the patient.","Whether the wrong entry was used in prescribing or copied anywhere before the reported correction.","The country and the exact date of the appointment (the post says it was the day before 14 October 2026; the author's time zone is not known)."],"geography":{"basis":"Neither the post nor the patient's replies name a country, region or clinic; no country is inferred.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the public-forum rule as a first-person account of an AI-generated appointment summary that, by the patient's account, recorded a medication they have never taken among their current medications. Described with attribution and without corroboration; the patient's later update reports the doctor's agreement that the AI likely misheard a word and his statement that the record was corrected.","reviewed_on":"2026-10-21"},"ai_involvement":{"basis":"The patient says the doctor asked to use AI to summarise the appointment, that they consented in order to see the summary it generated, and that this summary, posted in the patient portal, listed among their current medications a drug they have never taken. In an update the patient says they and the doctor agree the AI likely took another thing the doctor said for the drug's name. The AI output is therefore the summary itself, and the reported harm is the false entry it made about the patient's medications. The product and the summary text are not known.","status":"reported"},"person_relations":["made_claim_about"]},"name":"First-person post: patient says the AI summary of a doctor's appointment listed, among current medications, a drug the patient has never taken","summary":"In a Bluesky post on 14 October 2026, a patient says their doctor asked whether they minded his use of AI to summarise the appointment the day before. The patient says they explained their objections and then consented because they wanted to see the summary it generated. When the summary was posted in the patient portal, it listed among the patient's current medications a drug the patient says they do not take and have never taken. In a reply shortly afterwards the patient said the drug had not made its way to the official medication list but was listed in the clinical notes, and that they had messaged the doctor. In an update the next day the patient wrote that they and the doctor agree the medication was likely inserted because the AI took something else the doctor said for the drug's name, and that the doctor tells them the record has been corrected. The AI product, the medication and the summary are not public, and the doctor's own account is known only through the patient.","incidentDate":"2026-10-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-10-14","aiSystem":"An AI tool the doctor used to summarise the appointment, as the patient describes it ('his use of AI to summarize'); product not named","aiProduct":"Unidentified AI medical scribe","severity":"low","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["other_material_harm"],"harmOutcomeSummary":"A patient says an AI-generated summary of their doctor's appointment, posted in the patient portal, listed among their current medications a drug they have never taken; the patient adds that it was in the clinical notes but not on the official medication list, and later that the doctor says the record has been corrected (first-person account, uncorroborated).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient whose appointment summary contained the wrong medication. Other people's similar accounts in the replies are not counted.","victimAgeRange":"unknown","platformType":"other","outcomeStatus":"resolved","primarySourceUrl":"https://bsky.app/profile/did:plc:a6m5puxjmwuwxhuviabkhg67/post/3mxudokyvfk2t","primarySourceLabel":"Bluesky post and replies by the patient, 14 Oct 2026: AI summary of an appointment listed a medication never taken","firstPublishedAt":"2026-10-15T03:02:41.092973+00:00","updatedAt":"2026-10-21T02:59:01.848418+00:00","scopeVersion":"facts-v3","tags":["first-person","bluesky","ai-scribe","medical-records","health"]},{"id":"2026-abc-ai-medical-scribe-false-drug-use-record","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'she was asked whether she consented to having the appointment transcribed by artificial intelligence (AI)'; 'with the AI scribe making up the serious but false claim that'; 'it made up that I take [psychedelic] mushrooms. I have never done mushrooms in my life'; 'only picked up the mistake after her kidney stone surgery in March, when she read the post-operative letter her specialist sent to her GP'; 'micro-dosed mushrooms and that could be the reason for prior bleeding around the kidneys'","relation":"supports","source_id":"s1"}],"assertion":"The patient consented to AI transcription of her first urology appointment; after her March 2026 kidney-stone surgery she found that the post-operative letter to her GP stated she micro-dosed mushrooms and that this could explain earlier bleeding around the kidneys, a claim she says is false.","causal_attribution":"Patient's account to ABC; the attribution of the false entry to the AI scribe is hers and ABC's framing."},{"id":"c2","status":"reported","evidence":[{"locator":"'I was gobsmacked and in tears'; 'was particularly stressed as she was receiving workers' compensation and felt any mention of illegal drugs on her medical record could impact her case'","relation":"supports","source_id":"s1"}],"assertion":"She reported distress and feared the entry could affect her workers' compensation case.","causal_attribution":"Patient's account."},{"id":"c3","status":"reported","evidence":[{"locator":"'the urologist sent a letter apologising'; 'Please be assured that we take the accuracy of our documentation very seriously, and we are truly sorry that this occurred'; 'it appeared to be from an error during the \"dictation or transcription process\"'; 'The urologist corrected the correspondence and in her letter said she would review how AI was used in her practice'; 'The doctor did not provide any responses to the ABC's questions about what changes, if any, have been made since'","relation":"supports","source_id":"s1"}],"assertion":"After her complaint the urologist apologised in writing, said the cause could not be determined but appeared to be an error in the dictation or transcription process, corrected the correspondence and said she would review her use of AI; she did not answer ABC's questions about changes made.","causal_attribution":"Doctor's letter as quoted by ABC; the doctor does not confirm the scribe as the origin."},{"id":"c4","status":"reported","evidence":[{"locator":"'AHPRA, said clinicians must always check all output from an AI scribe for accuracy to ensure they meet their professional obligations'; 'said it was clear her doctor did not do this'","relation":"supports","source_id":"s1"}],"assertion":"AHPRA told ABC that clinicians must always check all output from an AI scribe for accuracy; the patient said it was clear her doctor had not.","causal_attribution":"Regulator comment and patient's view; context for the case."}],"effects":[{"label":"a false claim of psychedelic-mushroom use entered the patient's medical record and reached her GP; distress and fear for her workers' compensation case","claim_id":"c1","direction":"negative"},{"label":"the correspondence was corrected and the doctor apologised after the patient complained","claim_id":"c3","direction":"positive"}],"sources":[{"id":"s1","url":"https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672","kind":"news_report","access":"read","language":"en","translation_note":"Read live in English on 2026-09-20 (HTTP 200; saved body 402,866 bytes). Feature by the ABC Specialist Reporting Team based on the patient's interview and the letters she received, plus regulator and peak-body comment.","independence_group":"abc-news-2026-08-14"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The AI scribe product and vendor are not named.","The location of the clinic and the patient's residence are not stated.","The date of the appointment at which the transcription was made is not stated. The report gives the surgery as 'in March' without a year; 2026 is taken from the 14 August 2026 publication date.","Whether the false claim originated in the scribe's output or in a later dictation or editing step is not established; the doctor's letter says the cause could not be determined.","What changes the practice made afterwards are not reported."],"geography":{"basis":"No inspected source states where the appointment or the patient is located. The ABC report frames the case within Australian regulation (AHPRA, RACGP, TGA) and quotes Australian bodies, but does not locate the patient or the clinic, so the event and affected-person countries are left unknown rather than inferred from the publisher. No court proceeding.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published under the 2026-09-15 charter as an everyday-assistance and health case in which an AI system made a false claim about a person in her medical record, with reported distress and a corrected record. Single ABC News report read in full; claims recorded as reported and attributed to the patient and the doctor's letter. The patient is named in the report but not in this record; the doctor and clinic are unnamed.","reviewed_on":"2026-09-20"},"ai_involvement":{"basis":"The patient told ABC that the appointment was transcribed by an AI scribe with her consent and that the false mushroom claim appeared in the resulting post-operative letter; the doctor's apology attributes the claim to an error during the 'dictation or transcription process' without confirming the scribe as the origin. The product is not named. Single ABC report.","status":"reported"},"person_relations":["made_claim_about"]},"name":"Reported by ABC News (Australia): an AI scribe used at a urology appointment inserted a false claim that the patient took psychedelic mushrooms into her record; the error reached her GP in a post-operative letter and was corrected only after she complained","summary":"A patient who consented to having her first urology appointment transcribed by an artificial-intelligence scribe discovered, after her kidney-stone surgery in March 2026, that the post-operative letter her specialist sent to her GP stated she micro-dosed psychedelic mushrooms and that this could explain earlier bleeding around the kidneys. She says she has never taken mushrooms. She was receiving workers' compensation and feared that any mention of illegal drugs on her medical record could affect her case. After she complained, the urologist sent a letter of apology saying the practice takes documentation accuracy seriously, that she could not determine how the claim came to be included but that it appeared to be an error during the 'dictation or transcription process', that the correspondence had been corrected and that she would review how AI was used in her practice. The doctor did not answer ABC's questions about what changes had been made. Australia's practitioner regulator AHPRA told ABC that clinicians must check all AI-scribe output; the patient says it was clear her doctor had not. The account is a single ABC News report (14 August 2026) based on the patient's interview and the letters she received; the scribe product and the clinic's location are not named.","incidentDate":"2026-03-01","incidentKind":"single_event","incidentDatePrecision":"month","exposurePattern":"single_interaction","reportedDate":"2026-08-14","aiSystem":"AI medical scribe (product not named in the report)","aiProduct":"Unidentified AI medical scribe","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress","reputational_harm"],"harmOutcomeSummary":"The patient reports distress ('gobsmacked and in tears') and fear for her workers' compensation case after a false illegal-drug claim entered her medical record and was sent to her GP; the record was corrected after her complaint. The false entry is attributed by the patient to the AI scribe and by the doctor to an error in the dictation or transcription process.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":0,"otherPeopleHarmedMin":1,"affectedCountStatus":"exact","affectedCountEvidence":"One patient whose record carried the false claim (ABC report). The clinician used the AI tool, so the patient is counted as another person harmed rather than a participant user. Exact 1.","victimAgeRange":"adult","platformType":"other","outcomeType":"internal_action","outcomeStatus":"resolved","primarySourceUrl":"https://www.abc.net.au/news/2026-08-14/ai-medical-scribe-error-leaves-patient-devastated/107031672","primarySourceLabel":"ABC News (Specialist Reporting Team), 14 August 2026: Error by AI scribe during medical appointment leaves patient devastated","firstPublishedAt":"2026-09-20T03:28:12.119063+00:00","updatedAt":"2026-09-30T01:17:22.846812+00:00","scopeVersion":"facts-v3","tags":["ai-scribe","medical-records","health","transcription-error","false-record","workers-compensation","abc-news"]}]}