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Ubaid Pisuwala

Ask an LLM to summarize a patient encounter as a SOAP note, and it will. The note will read fluently, follow the right headings, and sound clinically plausible. None of that tells you whether it's usable in production — and for teams evaluating or…

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Ubaid Pisuwala

Every AI medical scribe starts with the same unglamorous problem: turning sound into text accurately enough that a clinician will trust what comes out the other end. Consumer-grade speech recognition gets nowhere close on its own. The gap between…

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Ubaid Pisuwala

Building an AI medical scribe is not a software development project. It is a six-layer clinical AI engineering program — acoustic capture, speaker diarization, clinical ASR fine-tuning, NLP entity extraction, LLM SOAP note generation, and FHIR EHR…

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Ubaid Pisuwala

Here is the number nobody wants to say out loud: most healthcare interoperability projects fail. Not because FHIR is broken. Not because the technology doesn't exist. They fail because the organizations running them solve the wrong problem with…

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Ubaid Pisuwala

The dataset that goes into a regulatory submission is only as trustworthy as the validation processes that produced it. Data validation is not a QA step you run at database lock — it is an architecture that must be designed, implemented, and…

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Ubaid Pisuwala

A 15-minute clinical encounter produces approximately 2,000 spoken words across two or more speakers in an acoustically imperfect environment, often including medical terminology that general-purpose speech models have never encountered. Getting…

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Ubaid Pisuwala

A clinical data capture system is only as good as the data it collects. Garbage in, garbage out — and in a regulatory submission, garbage out means a Complete Response Letter, a 483 observation, or worse. Most clinical data quality failures are not…

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Ubaid Pisuwala

FHIR (Fast Healthcare Interoperability Resources) is the ONC-mandated standard for healthcare data exchange — but the specification's inherent flexibility, combined with EHR vendor deviations, evolving profile requirements, and the complexity of…

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Ubaid Pisuwala

The eCRF system you build in the first sprint will serve a 3-site, 80-subject pilot. The one you need two years later will run an 80-site, 12,000-subject Phase III trial across 15 countries. These are not the same system — unless you make the right…

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