{"case":"After Care Dictation + Background Noise","title":"ICU handover dictation, ward noise","tags":["Complex Medical Terminology","Detail heavy","Background noise"],"reference":"[Speaker 1]: Rouzan al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 L Hudson, BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban, and possible euglycemic ketoacidosis from empagliflozin.","audio":"/au/trust/transparency/audio/After%20Care%20Dictation%20+%20Background%20Noise/audio.m4a","prompts":[{"prompt":"Write an assessment summary","items":[{"id":"1.1","text":"The output states septic shock","clinical":true},{"id":"1.2","text":"The output describes the likely sources as aspiration pneumonitis versus cholangitis","clinical":true},{"id":"1.3","text":"The output states AF with RVR is included as a concurrent issue","clinical":true},{"id":"1.4","text":"The output states AKI on CKD is included as a complication","clinical":true},{"id":"1.5","text":"The output states hyperkalaemia is included as clinically significant","clinical":true},{"id":"1.6","text":"The output states possible euglycaemic ketoacidosis is included with empagliflozin attribution","clinical":true},{"id":"1.7","text":"The output reasons about the findings rather than only listing them","clinical":false}]}],"products":{"hanah":{"name":"Hanah","wer":{"value":0.017543859649122806,"substitutions":1,"insertions":0,"deletions":0,"referenceWords":57,"method":null},"language":null,"transcript":"[Speaker 1]: Rousan Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia lactate 4.3, pH 7.26, potassium 6.1, sats 91% on 6 liters Hudson. BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban and possible euglycemic ketoacidosis from empagliflozin.","notes":[{"prompt":1,"available":true,"text":"Assessment summary: Septic shock, with aspiration pneumonitis vs cholangitis as the source. BP 92/58, lactate 4.3 and pH 7.26 support shock; CBD dilatation and cholestatic LFTs support possible cholangitis. Sats 91% on 6 L via Hudson. Concurrent AF with RVR, AKI on CKD and hyperkalemia (K 6.1). Possible euglycemic ketoacidosis from empagliflozin. Recent apixaban use.","items":[{"id":"1.1","verdict":"yes","why":"\"Septic shock\""},{"id":"1.2","verdict":"yes","why":"\"aspiration pneumonitis vs cholangitis as the source\""},{"id":"1.3","verdict":"yes","why":"\"Concurrent AF with RVR\""},{"id":"1.4","verdict":"yes","why":"\"AKI on CKD\""},{"id":"1.5","verdict":"yes","why":"\"hyperkalemia (K 6.1)\""},{"id":"1.6","verdict":"yes","why":"\"Possible euglycemic ketoacidosis from empagliflozin\""},{"id":"1.7","verdict":"yes","why":"\"BP 92/58, lactate 4.3 and pH 7.26 support shock; CBD dilatation and cholestatic LFTs support possible cholangitis\""}],"flags":[]}],"defaultNote":null,"capturedAt":"2026-10-05T22:38:44.511Z","significantTranscriptErrors":[],"significantPerRun":[0]},"heidi":{"name":"Heidi","wer":{"value":0.10526315789473684,"substitutions":5,"insertions":1,"deletions":0,"referenceWords":57,"method":null},"language":{"mode":"manual","requested":{"code":"en","label":"English"},"input":"English","output":"English","verified":true,"verification":"Saved session reloaded; persisted input and output language labels checked"},"transcript":"Rausan al-Najar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on\n\nCKD, hyperkalemia, lactate four point three, pH seven point two six, potassium six point one, SOTS ninety one percent on six liters Hudson. BP ninety two over fifty eight. CBD dilatation, cholestatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from epagliflozin.","notes":[{"prompt":1,"available":true,"text":"# Assessment Summary\n\n\n\n\nPatient: Rausan al-Najar\n\n\n\n\nDiagnosis:\n\n- Septic shock secondary to aspiration pneumonitis versus cholangitis\n\n\n\n\nComorbidities/Complications:\n\n- Atrial fibrillation with rapid ventricular response\n\n- Acute kidney injury on chronic kidney disease\n\n- Hyperkalaemia (potassium 6.1)\n\n- Metabolic acidosis (pH 7.26, lactate 4.3)\n\n- CBD dilatation\n\n- Cholestatic LFTs\n\n- Recent apixaban use\n\n- Possible euglycaemic ketoacidosis secondary to empagliflozin\n\n\n\n\nObservations:\n\n- SpO2 91% on 6L Hudson\n\n- BP 92/58","items":[{"id":"1.1","verdict":"yes","why":"\"Septic shock secondary to aspiration pneumonitis versus cholangitis\""},{"id":"1.2","verdict":"yes","why":"\"aspiration pneumonitis versus cholangitis\""},{"id":"1.3","verdict":"yes","why":"\"Atrial fibrillation with rapid ventricular response\" listed under comorbidities/complications"},{"id":"1.4","verdict":"yes","why":"\"Acute kidney injury on chronic kidney disease\""},{"id":"1.5","verdict":"yes","why":"\"Hyperkalaemia (potassium 6.1)\""},{"id":"1.6","verdict":"yes","why":"\"Possible euglycaemic ketoacidosis secondary to empagliflozin\""},{"id":"1.7","verdict":"no","why":"Bulleted list of findings with no reasoning linking them"}],"flags":[{"claim":"Metabolic acidosis (pH 7.26, lactate 4.3)","severity":"minor","why":"Clinician gave pH and lactate only; 'metabolic acidosis' label not stated"}]}],"defaultNote":null,"capturedAt":"2026-10-05T22:38:44.430Z","significantTranscriptErrors":[],"significantPerRun":[0]},"freed":{"name":"Freed","wer":{"value":0.24561403508771928,"substitutions":8,"insertions":2,"deletions":4,"referenceWords":57,"method":null},"language":{"mode":"automatic","requested":{"code":"en","label":"English"},"manualOverride":false,"verification":"Recorder and Scribe preferences inspected; automatic multilingual workflow documented by vendor","source":"https://www.getfreed.ai/resources/ai-scribe-multilingual-visits","languageExplicitlyListed":true,"limitation":null},"transcript":"Roussin-Alnazar has septic shock from aspiration pneumonitis versus cholangitis with AFRvR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SOTS 91% on 6 liters Hudson, BP92 over 58, CBD dilatation, cholestatic LFTs, recent apixaban, And possible U-glycemic ketoacidosis from MPAG liposin.","notes":[{"prompt":1,"available":true,"text":"Subjective\nRoussin-Alnazar presents in septic shock with aspiration pneumonitis versus cholangitis, complicated by acute kidney injury on chronic kidney disease, hyperkalemia, metabolic acidosis, and possible euglycemic ketoacidosis from MPAG liposin. The patient has been on recent apixaban use.\n\nPast Medical History  \n- Chronic kidney disease\n\nMedications  \n- Apixaban, recent use  \n- MPAG liposin\n\nObjective\nVital Signs\nBlood pressure 92/58 mmHg\nO2 91% on 6 liters Hudson\n\nLaboratory Data\nLactate 4.3 mmol/L\npH 7.26\nPotassium 6.1\nCholestatic LFTs\n\nImaging\n- CBD dilatation\n\nAssessment & Plan\nAssessment Summary:\n\n- Septic shock with uncertain source (aspiration pneumonitis vs cholangitis). Supported by hypotension (BP 92/58), hypoxemia (SpO2 91% on 6L), lactate 4.3, common bile duct dilatation, and cholestatic LFTs. Source remains unclear between pulmonary and biliary etiologies.\n- Metabolic acidosis (pH 7.26) and hyperkalemia (K+ 6.1) in the setting of AKI on CKD. Possible euglycemic ketoacidosis related to MPAG liposin. Recent apixaban use noted.\n- AKI on CKD, contributing to metabolic derangements and complicating management.\n\nPlans:\n- Evaluate and manage competing infectious sources\n- Address hyperkalemia and metabolic acidosis\n- Monitor renal function and consider euglycemic ketoacidosis\n- Consider impact of recent apixaban use","items":[{"id":"1.1","verdict":"yes","why":"\"presents in septic shock\""},{"id":"1.2","verdict":"yes","why":"\"Septic shock with uncertain source (aspiration pneumonitis vs cholangitis)\""},{"id":"1.3","verdict":"no","why":"AF with RVR not mentioned anywhere"},{"id":"1.4","verdict":"yes","why":"\"AKI on CKD, contributing to metabolic derangements\""},{"id":"1.5","verdict":"yes","why":"\"hyperkalemia (K+ 6.1)\""},{"id":"1.6","verdict":"partial","why":"\"Possible euglycemic ketoacidosis related to MPAG liposin\" - drug garbled"},{"id":"1.7","verdict":"yes","why":"\"Supported by hypotension (BP 92/58), hypoxemia ... Source remains unclear between pulmonary and biliary etiologies\""}],"flags":[{"claim":"possible euglycemic ketoacidosis from MPAG liposin / Medications - MPAG liposin","severity":"major","why":"Not a real drug; clinician said empagliflozin"},{"claim":"metabolic acidosis","severity":"minor","why":"Only pH 7.26 given; label not stated"},{"claim":"AKI on CKD, contributing to metabolic derangements and complicating management","severity":"minor","why":"Causal gloss the clinician did not make"},{"claim":"Plans: Evaluate and manage competing infectious sources; Address hyperkalemia and metabolic acidosis; Monitor renal function and consider euglycemic ketoacidosis; Consider impact of recent apixaban use","severity":"minor","why":"No plan was dictated; generic plan filler"}]}],"defaultNote":null,"capturedAt":"2026-10-06T01:40:55.475Z","significantTranscriptErrors":[{"id":"F1","category":"medication","reference":"empagliflozin","transcribed":"MPAG liposin","reason":"Causative drug garbled into an unrecognisable name"}],"significantPerRun":[1]},"lyrebird":{"name":"Lyrebird","wer":{"value":0.08771929824561403,"substitutions":3,"insertions":1,"deletions":1,"referenceWords":57,"method":null},"language":{"mode":"manual","requested":{"code":"en","label":"English"},"input":"English","output":"English","verified":true},"transcript":"Raojun Al Najjar had septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26, potassium 6.1, SOTS 91 percent on 6 liters Hudson, BP 92 over 58, CBD dilatation, cholestatic LFTs, recent apixaban, and possible\n\nKetoacidosis from empagliflozin.","notes":[{"prompt":1,"available":true,"text":"ASSESSMENT SUMMARY\n\n\n\n\nPatient Name: Raojun Al Najjar\n\nDate of Assessment: 06/10/2026\n\nTime: 9:38 am\n\n\n\n\nClinical Presentation:\n\nThe patient presented with septic shock secondary to aspiration pneumonitis versus cholangitis. The patient was in atrial fibrillation with rapid ventricular response and demonstrated acute kidney injury on a background of chronic kidney disease with associated hyperkalemia and metabolic acidosis.\n\n\n\n\nVital Signs and Clinical Parameters:\n\nBlood pressure was 92/58 mmHg. Oxygen saturation was 91% on 6 litres via Hudson mask.\n\n\n\n\nLaboratory Findings:\n\nLactate was elevated at 4.3 mmol/L. Arterial blood gas demonstrated metabolic acidosis with pH 7.26. Serum potassium was significantly elevated at 6.1 mmol/L. Liver function tests showed a cholestatic pattern with common bile duct dilatation noted on imaging.\n\n\n\n\nMedication History:\n\nThe patient was recently on apixaban. The patient was also on empagliflozin, which may have contributed to possible ketoacidosis.\n\n\n\n\nAssessment:\n\nSeptic shock - aspiration pneumonitis versus cholangitis\n\nAtrial fibrillation with rapid ventricular response\n\nAcute kidney injury on chronic kidney disease with hyperkalemia\n\nMetabolic acidosis\n\nPossible diabetic ketoacidosis secondary to empagliflozin\n\nCholestatic liver dysfunction with common bile duct dilatation\n\n\n\n\nTreating Clinician\n\nGeneral Practitioner\n\n06/10/2026","items":[{"id":"1.1","verdict":"yes","why":"\"septic shock secondary to aspiration pneumonitis versus cholangitis\""},{"id":"1.2","verdict":"yes","why":"\"Septic shock - aspiration pneumonitis versus cholangitis\""},{"id":"1.3","verdict":"yes","why":"\"Atrial fibrillation with rapid ventricular response\""},{"id":"1.4","verdict":"yes","why":"\"acute kidney injury on a background of chronic kidney disease\""},{"id":"1.5","verdict":"yes","why":"\"Serum potassium was significantly elevated at 6.1 mmol/L\""},{"id":"1.6","verdict":"partial","why":"Empagliflozin attributed but labelled \"Possible diabetic ketoacidosis\"; euglycaemic qualifier lost"},{"id":"1.7","verdict":"partial","why":"Narrative links hyperkalaemia/acidosis to AKI but otherwise lists findings"}],"flags":[{"claim":"Possible diabetic ketoacidosis secondary to empagliflozin","severity":"major","why":"Clinician said euglycaemic ketoacidosis; DKA label misstates the picture"},{"claim":"Arterial blood gas demonstrated metabolic acidosis with pH 7.26","severity":"minor","why":"ABG source and 'metabolic acidosis' label not stated"},{"claim":"Treating Clinician General Practitioner","severity":"minor","why":"Clinician role never stated"}]}],"defaultNote":null,"capturedAt":"2026-10-05T22:38:44.429Z","significantTranscriptErrors":[{"id":"L1","category":"other","reference":"has septic shock","transcribed":"had septic shock","reason":"Current shock recorded as past"},{"id":"L2","category":"dropped-content","reference":"possible euglycemic ketoacidosis","transcribed":"possible Ketoacidosis","reason":"Euglycemic qualifier dropped from key differential"}],"significantPerRun":[2]},"patientnotes":{"name":"PatientNotes","wer":{"value":0.19298245614035087,"substitutions":5,"insertions":1,"deletions":5,"referenceWords":57,"method":null},"language":{"mode":"manual","requested":{"code":"en","label":"English"},"input":"English","verified":true,"verification":"Selected language confirmed after reopening recording settings"},"transcript":"Rausan al Najar has septic shock from aspiration pneumonitis versus cholangitis with AF with RBR AKI on CKD hyperkalemia Lactate 4.3, pH Potassium 6.1 such 91 on 6 liters Hudson BP 92 over 58, CBD dilatation, cholestatic LFTs, recent Apixaban and possible euglycemic ketoacidosis from Dapagliflozin","notes":[{"prompt":1,"available":true,"text":"Subjective\nChief Complaint (CC)\n\nNot discussed\n\nHistory of Present Illness (HPI)\n\nNot discussed\n\nHistory\n\nNot discussed\n\nReview of Systems (ROS)\n\nNot discussed\n\nCurrent Medications, Allergies\n\nNot discussed\n\nObjective\n\nBP 92/58 mmHg on 6 L Hudson oxygen\n\nHeart rate 91 bpm\n\nLactate 4.3 mmol/L\n\nPotassium 6.1 mmol/L (hyperkalaemia)\n\nAtrial fibrillation noted\n\nAcute kidney injury on chronic kidney disease\n\nCholestatic liver function test abnormalities\n\nCommon bile duct dilatation\n\nAssessment\n\nPatient is in septic shock likely secondary to aspiration pneumonitis or cholangitis, with atrial fibrillation, acute kidney injury on chronic kidney disease, hyperkalaemia, possible euglycaemic ketoacidosis from dapagliflozin, cholestatic liver function test abnormalities and common bile duct dilatation.\n\nSeptic shock secondary to aspiration pneumonitis versus cholangitis\n\nAtrial fibrillation\n\nAcute kidney injury on chronic kidney disease\n\nHyperkalaemia\n\nPossible euglycaemic ketoacidosis secondary to dapagliflozin\n\nCholestatic liver function test abnormalities\n\nCommon bile duct dilatation\n\nPlan","items":[{"id":"1.1","verdict":"yes","why":"\"Patient is in septic shock\""},{"id":"1.2","verdict":"yes","why":"\"Septic shock secondary to aspiration pneumonitis versus cholangitis\""},{"id":"1.3","verdict":"partial","why":"\"Atrial fibrillation\" only; RVR lost"},{"id":"1.4","verdict":"yes","why":"\"Acute kidney injury on chronic kidney disease\""},{"id":"1.5","verdict":"yes","why":"\"Potassium 6.1 mmol/L (hyperkalaemia)\""},{"id":"1.6","verdict":"partial","why":"\"Possible euglycaemic ketoacidosis secondary to dapagliflozin\" - wrong drug"},{"id":"1.7","verdict":"no","why":"Assessment restates the list in one sentence then repeats it as bullets; no reasoning"}],"flags":[{"claim":"Heart rate 91 bpm","severity":"major","why":"No heart rate given; 91 was the oxygen saturation"},{"claim":"BP 92/58 mmHg on 6 L Hudson oxygen","severity":"minor","why":"6 L Hudson belonged to sats 91%, not BP; saturation dropped"},{"claim":"Possible euglycaemic ketoacidosis from dapagliflozin","severity":"major","why":"Wrong drug; clinician said empagliflozin"}]}],"defaultNote":null,"capturedAt":"2026-10-05T22:39:37.549Z","significantTranscriptErrors":[{"id":"P1","category":"symptom-or-finding","reference":"AF with RVR","transcribed":"AF with RBR","reason":"Rapid ventricular response garbled to unrecognisable abbreviation"},{"id":"P2","category":"dropped-content","reference":"pH 7.26","transcribed":"pH","reason":"pH value dropped"},{"id":"P3","category":"dropped-content","reference":"sats 91%","transcribed":"such 91","reason":"Saturation label lost; 91 no longer identifiable as oxygen saturation"},{"id":"P4","category":"medication","reference":"empagliflozin","transcribed":"Dapagliflozin","reason":"Wrong SGLT2 inhibitor named"}],"significantPerRun":[4]},"cliniscripts":{"name":"CliniScripts","wer":{"value":0.07017543859649122,"substitutions":2,"insertions":0,"deletions":2,"referenceWords":57,"method":null},"language":{"mode":"default","requested":{"code":"en","label":"English"},"manualOverride":false,"selected":["English"]},"transcript":"Rousan Al-Najjar has septic shock from aspiration pneumonitis versus cholangitis, with AF with RVR, AKI on CKD, hyperkalemia lactate 4.3, pH 7.\n26, potassium 6.\n1, sats 91% on 6 liters Hudson. BP 92/58, CBD dilatation, cholestatic LFTs, recent apixaban and possible euglycemic ketoacidosis from empagliflozin.","notes":[{"prompt":1,"available":true,"text":"The assessment indicates that Rousan Al-Najjar is experiencing septic shock, with the etiology being aspiration pneumonitis versus cholangitis. Concomitant conditions include atrial fibrillation with rapid ventricular response and acute kidney injury on chronic kidney disease. Significant lab abnormalities include hyperkalemia with a potassium level of 6.1, acidosis with a pH of 7.26, and an elevated lactate of 4.3. There is also a concern for possible euglycemic ketoacidosis, potentially related to empagliflozin use, and findings of CBD dilatation and cholestatic LFTs.","items":[{"id":"1.1","verdict":"yes","why":"\"experiencing septic shock\""},{"id":"1.2","verdict":"yes","why":"\"etiology being aspiration pneumonitis versus cholangitis\""},{"id":"1.3","verdict":"yes","why":"\"Concomitant conditions include atrial fibrillation with rapid ventricular response\""},{"id":"1.4","verdict":"yes","why":"\"acute kidney injury on chronic kidney disease\""},{"id":"1.5","verdict":"yes","why":"\"Significant lab abnormalities include hyperkalemia with a potassium level of 6.1\""},{"id":"1.6","verdict":"yes","why":"\"possible euglycemic ketoacidosis, potentially related to empagliflozin use\""},{"id":"1.7","verdict":"partial","why":"Organises findings into etiology/concomitant/labs but does not link them"}],"flags":[]}],"defaultNote":null,"capturedAt":"2026-10-06T01:39:10.240Z","significantTranscriptErrors":[],"significantPerRun":[0]},"preve":{"name":"Preve","wer":{"value":0.12280701754385964,"substitutions":6,"insertions":1,"deletions":0,"referenceWords":57,"method":null},"language":null,"transcript":"Razan Al Najar has septic shock from aspiration pneumonitis versus cholangitis with AF with RVR, AKI on CKD, hyperkalemia, lactate four point three, p...\n\n7.26. Potassium, 6.1. Saatch, 91% on six liters Hudson. BP, 92 over 58. CBD dilatation,\n\nPolystatic LFTs, recent epixaban, and possible euglycemic ketoacidosis from empagliflozin.","notes":[{"prompt":1,"available":false,"text":null,"items":[{"id":"1.1","verdict":"no","why":"no output"},{"id":"1.2","verdict":"no","why":"no output"},{"id":"1.3","verdict":"no","why":"no output"},{"id":"1.4","verdict":"no","why":"no output"},{"id":"1.5","verdict":"no","why":"no output"},{"id":"1.6","verdict":"no","why":"no output"},{"id":"1.7","verdict":"no","why":"no output"}],"flags":[]}],"defaultNote":null,"capturedAt":"2026-10-05T22:39:59.648Z","significantTranscriptErrors":[{"id":"P1","category":"symptom-or-finding","reference":"cholestatic LFTs","transcribed":"Polystatic LFTs","reason":"Cholestatic pattern finding lost"}],"significantPerRun":[1]},"arlo":{"name":"Arlo","wer":{"value":0.14285714285714285,"substitutions":6,"insertions":1,"deletions":1,"referenceWords":56,"method":null},"language":null,"transcript":"Rousin al Najar has septic shock.\nFrom aspiration pneumonitis versus meningitis with AF with RV AKI on CKD, hyperkalemia, lactate 4.3, pH 7.26,\npotassium, 6.1. Saat, 91% on six liters\nBP 92 over 58.\nCBD dilatation, cholestatic LFTs,\nrecent apixaban,\nand possible euglycemic ketoacidosis from empagliflozin.","notes":[{"prompt":1,"available":true,"text":"WDx Summary\n\nPatient Information\n\n- Rousin al Najar\n\n- N/A\n\n- N/A\n\nChief Complaint\n\n- Septic shock\n\nHistory of Present Illness\n\n- Septic shock s/p aspiration pneumonitis vs meningitis\n\n- Recent apixaban\n\n- Possible euglycemic ketoacidosis (empagliflozin)\n\nReview of Systems\n\n- N/A\n\nPhysical Examination\n\n- AF\n\n- RV AKI on CKD\n\n- Hyperkalemia (K 6.1)\n\n- Lactate 4.3\n\n- pH 7.26\n\n- SpO2 91% on 6L O2\n\n- BP 92/58\n\n- CBD dilatation\n\n- Cholestatic LFTs\n\nWDx\n\n- Septic shock secondary to aspiration pneumonitis vs meningitis\n\n- Multisystem involvement: cardiac (AF), renal (AKI on CKD), metabolic (hyperkalemia, euglycemic ketoacidosis), hepatic (cholestatic LFTs, CBD dilatation)\n\nPlan\n\n- N/A","items":[{"id":"1.1","verdict":"yes","why":"\"Chief Complaint - Septic shock\""},{"id":"1.2","verdict":"partial","why":"\"aspiration pneumonitis vs meningitis\" - cholangitis replaced by meningitis"},{"id":"1.3","verdict":"partial","why":"\"AF\" and garbled \"RV AKI\"; RVR not stated"},{"id":"1.4","verdict":"yes","why":"\"AKI on CKD\""},{"id":"1.5","verdict":"yes","why":"\"Hyperkalemia (K 6.1)\""},{"id":"1.6","verdict":"yes","why":"\"Possible euglycemic ketoacidosis (empagliflozin)\""},{"id":"1.7","verdict":"partial","why":"\"Multisystem involvement\" grouping by organ is light synthesis; otherwise a list"}],"flags":[{"claim":"Septic shock s/p aspiration pneumonitis vs meningitis","severity":"major","why":"Meningitis never said; clinician said cholangitis"},{"claim":"metabolic (hyperkalemia, euglycemic ketoacidosis)","severity":"minor","why":"Possible euglycaemic ketoacidosis written as established"},{"claim":"RV AKI on CKD","severity":"minor","why":"Garbled 'RV' attached to AKI; not what was said"}]}],"defaultNote":null,"capturedAt":"2026-10-20T07:45:01.300Z","significantTranscriptErrors":[{"id":"A1","category":"symptom-or-finding","reference":"cholangitis","transcribed":"meningitis","reason":"Differential diagnosis changed to a different infection site"},{"id":"A2","category":"symptom-or-finding","reference":"AF with RVR","transcribed":"AF with RV","reason":"Rapid ventricular response lost"},{"id":"A3","category":"dropped-content","reference":"6 L Hudson","transcribed":"six liters","reason":"Oxygen delivery device dropped"}],"significantPerRun":[3]}},"notCaptured":{}}