{"meta":{"exportedAt":"2026-10-26T08:33:56.143Z","formatVersion":2,"selection":{"q":"primary-care","system":"","harm":"","context":"","country":"","role":"","relation":"contextual","evidence":"","year":"unknown","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":1,"coverage":{"cases":1,"countries":1,"languages":1,"unknownLocation":0,"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":"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"]}]}