{"meta":{"exportedAt":"2026-09-30T06:30:57.445Z","formatVersion":2,"selection":{"q":"portuguese-language","system":"","harm":"","context":"","country":"","role":"","relation":"","evidence":"","year":"2026","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":0,"regulatory":0,"minors":0,"coreRelations":1,"contextualRelations":0,"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-trofa-portugal-urologist-handed-patient-unvalidated-gemini-diet-printout","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'Uma consulta no Trofa Saúde Hospital da Trofa terminou com um médico a entregar a uma paciente uma recomendação impressa diretamente do Gemini'; 'o caso ocorreu a 2 de junho durante uma consulta de urologia. Em vez de um plano nutricional personalizado para um problema renal, o paciente recebeu uma folha impressa que trazia, no cabeçalho, a etiqueta de \"vista geral de IA\".'","relation":"supports","source_id":"s1"},{"locator":"'o paciente procurou uma consulta de urologia para acompanhamento de um problema renal e esperava receber um plano nutricional personalizado. Em vez disso, afirma ter recebido uma folha impressa com recomendações alimentares, identificada no topo como uma \"vista geral de IA\", gerada pelo Gemini.'","relation":"supports","source_id":"s2"}],"assertion":"During a urology consultation on 2 June 2026 at the Trofa Saúde Hospital da Trofa, a patient with a kidney problem who expected a personalised nutrition plan received a printed sheet of food recommendations headed 'AI overview', generated by Google's Gemini.","causal_attribution":"Patient's account to Correio da Manhã; relays repeat it."},{"id":"c2","status":"reported","evidence":[{"locator":"'Para quem paga cerca de 90 euros pela consulta numa das unidades do grupo de saúde privado, se não tiver seguro de saúde, a experiência deixou um gosto amargo.'; '\"Nunca experienciei uma coisa assim. Eu preferia que ele demorasse o seu tempo\", confessou o paciente, questionado pelo CM, considerando \"uma falta de consideração\" por parte do profissional de saúde.'; '\"O médico estava a escrever no computador e eu não estava à espera de receber um print do Google\", relatou.'","relation":"supports","source_id":"s1"},{"locator":"'O doente, que pagou cerca de 90 euros pela consulta, descreveu a experiência como inédita e dececionante.'; 'Segundo o seu relato, o médico limitou-se a imprimir e entregar a informação produzida pelo chatbot, sem explicar se tinha revisto ou adaptado o conteúdo ao seu quadro clínico.'","relation":"supports","source_id":"s2"},{"locator":"'Uma paciente que pagou cerca de 90 euros por uma consulta de urologia numa unidade do grupo Trofa Saúde recebeu, no final, um documento alegadamente gerado por Inteligência Artificial'","relation":"supports","source_id":"s3"}],"assertion":"The patient said the doctor simply printed and handed over the list without showing it had been checked against the patient's case, and called it a lack of consideration; the consultation costs about EUR 90 without insurance.","causal_attribution":"Patient's account; CM frames the EUR 90 as the price for patients without health insurance, and whether this patient was insured is not stated."},{"id":"c3","status":"reported","evidence":[{"locator":"'\"A inteligência artificial é um apoio, não um substituto. Toda a informação obtida via IA tem de ser obrigatoriamente validada pelo médico antes de chegar ao paciente. O médico tem a responsabilidade total e intransmissível sobre o ato\"'; 'Apesar das sucessivas tentativas de contacto ao longo das últimas três semanas, o grupo não prestou quaisquer esclarecimentos.'","relation":"supports","source_id":"s1"},{"locator":"'Contactada pelo Correio da Manhã, a Ordem dos Médicos afirma não ter conhecimento formal do caso concreto'; 'Para Carlos Cortes, recorrer a um chatbot para produzir recomendações básicas de alimentação em contexto de urologia representa uma atuação \"profundamente inábil\"'","relation":"supports","source_id":"s2"}],"assertion":"The Ordem dos Médicos, which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'; Trofa Saúde did not answer the paper's questions.","causal_attribution":"Professional body's general statement in response to the paper; it did not examine the case."}],"effects":[{"label":"a paid urology consultation ended with an unvalidated Gemini food list instead of a personalised nutrition plan, which the patient called a lack of consideration","claim_id":"c1","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","kind":"news_report","access":"read","language":"pt","translation_note":"Original report; full Portuguese body read by curl on 2026-09-29. Researcher's English rendering; no human translation.","independence_group":"correio-da-manha"},{"id":"s2","url":"https://www.onoticiasdatrofa.pt/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica/","kind":"news_report","access":"read","language":"pt","translation_note":"Local paper's rewrite of the Correio da Manhã report (16 July 2026), read by curl on 2026-09-29; it credits CM and adds no independent reporting.","independence_group":"correio-da-manha"},{"id":"s3","url":"https://postal.pt/nacional/paciente-paga-90e-por-consulta-de-urologia-no-privado-e-as-recomendacoes-do-medico-foram-geradas-por-inteligencia-artificial/","kind":"news_report","access":"read","language":"pt","translation_note":"Postal rewrite of the CM report (16 July 2026), read by curl on 2026-09-29; it refers to the patient in the feminine, while CM mostly uses the masculine, so the record does not state gender.","independence_group":"correio-da-manha"}],"version":1,"ai_roles":["institutional_use"],"contexts":["health"],"unknowns":["The content of the printed recommendations and whether any of it was inappropriate for the patient's condition.","The doctor's identity and whether the hospital or the Ordem dos Médicos took any action.","Whether the patient was insured and what the patient actually paid."],"geography":{"basis":"The consultation took place at the Trofa Saúde Hospital da Trofa in Trofa, Portugal (Correio da Manhã). The patient's country of residence is not stated.","court_countries":[],"event_countries":["PT"],"affected_person_countries":[]},"publication":{"basis":"Published as a concrete adverse experience in which AI output, relayed unvalidated by a hospital doctor, replaced personalised advice in a paid consultation. It rests on the patient's account in one Correio da Manhã report and its relays; no health harm is reported, and neither the patient nor the doctor is named.","reviewed_on":"2026-09-29"},"ai_involvement":{"basis":"The patient's printout was headed 'vista geral de IA', the label of Google's AI overview, and Correio da Manhã identifies it as Gemini output; the printout itself was not inspected and the hospital did not comment.","status":"reported"},"person_relations":["communicated_with"]},"name":"Trofa, Portugal: a patient at a private urology consultation (about EUR 90 without insurance) for a kidney problem, expecting a personalised nutrition plan, was handed a printout of Google Gemini food recommendations headed 'AI overview'; the Portuguese Medical Association called the practice 'profoundly inept'","summary":"According to Correio da Manhã, during a urology consultation at the Trofa Saúde Hospital da Trofa on 2 June 2026, a patient being followed for a kidney problem expected a personalised nutrition plan but received a printed sheet of food recommendations headed 'vista geral de IA' ('AI overview'), generated by Google's Gemini. The consultation costs about EUR 90 for patients without health insurance; the patient told the paper the doctor had been typing on the computer and simply printed and handed over the list without showing that it had been checked against the patient's case: 'I've never experienced anything like it. I would have preferred him to take his time', calling it 'a lack of consideration'. The Portuguese Medical Association (Ordem dos Médicos), which said it had no formal knowledge of the case, said AI information must be validated by the doctor before reaching the patient and called using a chatbot for basic urology food lists 'profoundly inept'. Trofa Saúde did not respond to the paper over three weeks.","incidentDate":"2026-06-02","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"single_interaction","reportedDate":"2026-07-15","aiSystem":"Google Gemini ('AI overview' output), used by a hospital urologist to produce dietary recommendations that were printed and handed to the patient","aiProduct":"Gemini (reported)","aiCompany":"Google","severity":"low","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["psychological_distress"],"harmOutcomeSummary":"The patient says a private consultation (about EUR 90 without insurance) ended with a printed Google Gemini food list instead of a personalised nutrition plan, handed over without any sign it had been checked against the patient's case, and called it 'a lack of consideration' (patient's account to Correio da Manhã; no health effect is reported).","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One patient, who received the Gemini printout and described the consultation to Correio da Manhã. The patient is counted as a participant because the AI-generated text itself was handed to them as the doctor's recommendation. Exact 1.","victimAgeRange":"unknown","jurisdiction":"PT","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.cmjornal.pt/sociedade/detalhe/urologista-do-hospital-da-trofa-entrega-recomendacoes-geradas-por-ia-a-paciente-sem-validacao-medica","primarySourceLabel":"Correio da Manhã, 15 July 2026: Urologista do Hospital da Trofa entrega recomendações geradas por IA a paciente sem validação médica","firstPublishedAt":"2026-09-29T09:00:39.286269+00:00","updatedAt":"2026-09-30T01:17:57.094189+00:00","scopeVersion":"facts-v3","tags":["gemini","google","ai-overview","healthcare","urology","private-hospital","portugal","ordem-dos-medicos","institutional-use","portuguese-language"]}]}