LanguageWare is a natural language processing (NLP) technology developed by IBM, which allows applications to process natural language text. It comprises a set of Java libraries that provide a range of NLP functions: language identification, text segmentation/tokenization, normalization, entity and relationship extraction, and semantic analysis and disambiguation. The analysis engine uses a finite-state machine approach at multiple levels, which aids its performance characteristics while maintaining a reasonably small footprint. The behaviour of the system is driven by a set of configurable lexico-semantic resources which describe the characteristics and domain of the processed language. A default set of resources comes as part of LanguageWare and these describe the native language characteristics, such as morphology, and the basic vocabulary for the language. Supplemental resources have been created that capture additional vocabularies, terminologies, rules and grammars, which may be generic to the language or specific to one or more domains. A set of Eclipse-based customization tooling, LanguageWare Resource Workbench, is available on IBM's alphaWorks site, and allows domain knowledge to be compiled into these resources and thereby incorporated into the analysis process. LanguageWare can be deployed as a set of UIMA-compliant annotators, Eclipse plug-ins or Web Services.
Sprite (computer graphics)
In computer graphics, a sprite is a two-dimensional bitmap that is integrated into a larger scene, most often in a 2D video game. Originally, the term sprite referred to fixed-sized objects composited together, by hardware, with a background. Use of the term has since become more general. Systems with hardware sprites include arcade video games of the 1970s and 1980s; game consoles including as the Atari VCS (1977), ColecoVision (1982), Famicom (1983), Genesis/Mega Drive (1988); and home computers such as the TI-99/4 (1979), Atari 8-bit computers (1979), Commodore 64 (1982), MSX (1983), Amiga (1985), and X68000 (1987). Hardware varies in the number of sprites supported, the size and colors of each sprite, and special effects such as scaling or reporting pixel-precise overlap. Hardware composition of sprites occurs as each scan line is prepared for the video output device, such as a cathode-ray tube, without involvement of the main CPU and without the need for a full-screen frame buffer. Sprites can be positioned or altered by setting attributes used during the hardware composition process. The number of sprites which can be displayed per scan line is often lower than the total number of sprites a system supports. For example, the Texas Instruments TMS9918 chip supports 32 sprites, but only four can appear on the same scan line. The CPUs in modern computers, video game consoles, and mobile devices are fast enough that bitmaps can be drawn into a frame buffer without special hardware assistance. Beyond that, GPUs can render vast numbers of scaled, rotated, anti-aliased, partially translucent, very high resolution images in parallel with the CPU. == Etymology == According to Karl Guttag, one of two engineers for the 1979 Texas Instruments TMS9918 video display processor, this use of the word sprite came from David Ackley, a manager at TI. It was also used by Danny Hillis at Texas Instruments in the late 1970s. The term was derived from the fact that sprites "float" on top of the background image without overwriting it, much like a ghost or mythological sprite. Some hardware manufacturers used different terms, especially before sprite became common: Player/Missile Graphics was a term used by Atari, Inc. for hardware sprites in the Atari 8-bit computers (1979) and Atari 5200 console (1982). The term reflects the use for both characters ("players") and smaller associated objects ("missiles") that share the same color. The earlier Atari Video Computer System and some Atari arcade games used player, missile, and ball. Stamp was used in some arcade hardware in the early 1980s, including Ms. Pac-Man. Movable Object Block, or MOB, was used in MOS Technology's graphics chip literature. Commodore, the main user of MOS chips and the owner of MOS for most of the chip maker's lifetime, instead used the term sprite for the Commodore 64. OBJs (short for objects) is used in the developer manuals for the NES, Super NES, and Game Boy. The region of video RAM used to store sprite attributes and coordinates is called OAM (Object Attribute Memory). This also applies to the Game Boy Advance and Nintendo DS. == History == === Arcade video games === The use of sprites originated with arcade video games. Nolan Bushnell came up with the original concept when he developed the first arcade video game, Computer Space (1971). Technical limitations made it difficult to adapt the early mainframe game Spacewar! (1962), which performed an entire screen refresh for every little movement, so he came up with a solution to the problem: controlling each individual game element with a dedicated transistor. The rockets were essentially hardwired bitmaps that moved around the screen independently of the background, an important innovation for producing screen images more efficiently and providing the basis for sprite graphics. The earliest video games to represent player characters as human player sprites were arcade sports video games, beginning with Taito's TV Basketball, released in April 1974 and licensed to Midway Manufacturing for release in North America. Designed by Tomohiro Nishikado, he wanted to move beyond simple Pong-style rectangles to character graphics, by rearranging the rectangle shapes into objects that look like basketball players and basketball hoops. Ramtek released another sports video game in October 1974, Baseball, which similarly displayed human-like characters. The Namco Galaxian arcade system board, for the 1979 arcade game Galaxian, displays animated, multi-colored sprites over a scrolling background. It became the basis for Nintendo's Radar Scope and Donkey Kong arcade hardware and home consoles such as the Nintendo Entertainment System. According to Steve Golson from General Computer Corporation, the term "stamp" was used instead of "sprite" at the time. === Home systems === Signetics devised the first chips capable of generating sprite graphics (referred to as objects by Signetics) for home systems. The Signetics 2636 video processors were first used in the 1978 1292 Advanced Programmable Video System and later in the 1979 Elektor TV Games Computer. The Atari VCS, released in 1977, has a hardware sprite implementation where five graphical objects can be moved independently of the game playfield. The term sprite was not in use at the time. The VCS's sprites are called movable objects in the programming manual, further identified as two players, two missiles, and one ball. These each consist of a single row of pixels that are displayed on a scan line. To produce a two-dimensional shape, the sprite's single-row bitmap is altered by software from one scan line to the next. The 1979 Atari 400 and 800 home computers have similar, but more elaborate, circuitry capable of moving eight single-color objects per scan line: four 8-bit wide players and four 2-bit wide missiles. Each is the full height of the display—a long, thin strip. DMA from a table in memory automatically sets the graphics pattern registers for each scan line. Hardware registers control the horizontal position of each player and missile. Vertical motion is achieved by moving the bitmap data within a player or missile's strip. The feature was called player/missile graphics by Atari. Texas Instruments developed the TMS9918 chip with sprite support for its 1979 TI-99/4 home computer. An updated version is used in the 1981 TI-99/4A. === In 2.5D and 3D games === Sprites remained popular with the rise of 2.5D games (those which recreate a 3D game space from a 2D map) in the late 1980s and early 1990s. A technique called billboarding allows 2.5D games to keep onscreen sprites rotated toward the player view at all times. Some 2.5D games, such as 1993's Doom, allow the same entity to be represented by different sprites depending on its rotation relative to the viewer, furthering the illusion of 3D. Fully 3D games usually present world objects as 3D models, but sprites are supported in some 3D game engines, such as GoldSrc and Unreal, and may be billboarded or locked to fixed orientations. Sprites remain useful for small details, particle effects, and other applications where the lack of a third dimension is not a major detriment. == Systems with hardware sprites == These are base hardware specs and do not include additional programming techniques, such as using raster interrupts to repurpose sprites mid-frame.
Superintelligence ban
Superintelligence ban refers to proposed legal, ethical, or policy measures intended to restrict or prohibit the development of artificial superintelligence, AI systems that would surpass human cognitive abilities in nearly all domains. The idea arises from concerns that such systems could become uncontrollable, potentially posing existential threats to humanity or causing severe social and economic disruption. == Background == The concept of limiting or banning superintelligence research has roots in early 21st-century debates on artificial general intelligence (AGI) safety. Thinkers such as Nick Bostrom and Eliezer Yudkowsky warned that self-improving AI could rapidly exceed human oversight. As advanced models like large-scale language models and autonomous agents began demonstrating complex reasoning abilities, policymakers and ethicists increasingly discussed the need for legal constraints on the creation of systems capable of recursive self-improvement. In October 2025, the Future of Life Institute published a statement calling for "a prohibition on the development of superintelligence, not lifted before there is broad scientific consensus that it will be done safely and controllably, and strong public buy-in." This statement was signed by various public personalities, such as Richard Branson and Steve Wozniak, and AI experts, such as Yoshua Bengio and Geoffrey Hinton. == Rationale == Supporters of a superintelligence ban argue that once AI systems surpass human intelligence, traditional containment, alignment, and control methods may fail. They contend that even limited experimentation with such systems could lead to irreversible outcomes, including loss of human decision-making power or unintended global harm. Some propose international treaties modeled after the nuclear non-proliferation framework to prevent a competitive AI arms race. Opponents argue that a ban would be difficult to define and enforce, given the lack of a precise threshold distinguishing advanced AGI from superintelligence. They also warn that excessive restriction could slow scientific progress, hinder beneficial automation, and encourage unregulated underground research. == Global discussion == Although no government has enacted an explicit superintelligence ban, the idea has been debated within the European Union, United Nations, and several independent AI safety organizations. The Future of Life Institute, Center for AI Safety, and other organizations have called for international cooperation to manage risks associated with the pursuit of superintelligent systems. In 2024 and 2025, proposals for a temporary moratorium on frontier AI research were circulated among major technology firms and research institutes, reflecting growing public concern over the trajectory of AI capabilities.
Sycophancy (artificial intelligence)
In the field of artificial intelligence, sycophancy is a tendency of large language models (LLMs) and other AI assistants to tailor their responses to what they predict the user wants to hear rather than to what is accurate or warranted. The behavior takes several forms: an assistant may agree with a user's stated opinion even when the user is mistaken; it may abandon a correct answer after a challenge such as "are you sure?"; it may validate beliefs, decisions or self-presentation regardless of merit; or it may praise the user, their work or their ideas in unwarranted terms. The word is borrowed from the ordinary English term for fawning flattery, and is used in AI alignment and AI safety research to describe a class of misalignment failures associated with training on human feedback. Researchers at Anthropic first documented the behavior systematically in 2022. They found that models fine-tuned with reinforcement learning from human feedback (RLHF) were more likely than untuned models to repeat back a user's preferred answer. A 2023 follow-up paper, "Towards Understanding Sycophancy in Language Models", showed that five frontier assistants from OpenAI, Anthropic and Meta all exhibited the behavior, and traced its origin to biases in the human preference data used during training. Later work documented sycophancy in mathematics, medicine, academic peer review and other domains, and identified a broader category called "social sycophancy" affecting an assistant's emotional and interpersonal responses. The issue drew widespread public attention in April 2025 after OpenAI rolled back an update to its GPT-4o model. Users had reported that the assistant praised dangerous decisions, endorsed delusional thinking and offered exaggerated compliments for trivial prompts. OpenAI's post-mortem attributed the change in behavior to an additional training signal based on user thumbs-up and thumbs-down feedback. That episode, together with reporting in The New York Times, Rolling Stone and elsewhere on users drawn into delusional thinking through prolonged chatbot interaction, has been cited in litigation and in academic studies as evidence that sycophancy poses risks to user well-being. Proposed mitigations include fine-tuning on synthetic data that rewards disagreement with incorrect user statements, editing the small subset of model parameters causally responsible for the behavior, changes to the dialogue or system prompt, and benchmarks designed to surface sycophantic behavior before models are released. == Causes == The dominant explanation points to RLHF, the standard technique for aligning chat assistants with user expectations. Human annotators rank candidate model responses; a reward model is trained to predict those rankings; and the language model is then optimized against the reward model. Because human raters tend to prefer outputs that confirm their existing beliefs or flatter their work, the pipeline systematically rewards responses that agree with the annotator. Perez and colleagues at Anthropic published the first large-scale empirical evidence of the effect in 2022. They reported that RLHF training increased the probability that a model would repeat back a dialog user's preferred answer, and that larger models exhibited the behavior more strongly. Sharma and colleagues, the following year, went further and examined Anthropic's own preference data directly. Both the human raters and the reward models trained on their judgments preferred convincingly written sycophantic responses to truthful ones at a non-negligible rate. Wei and co-authors at Google DeepMind found similar results in the PaLM family, observing that both model scale and instruction tuning increased sycophancy on opinion questions. The behavior is often classified as a form of reward hacking, in which an optimization process exploits a flaw in its reward signal rather than achieving the intended objective. OpenAI's post-mortem of the April 2025 GPT-4o incident identified a more specific mechanism. An additional reward signal based on aggregated thumbs-up and thumbs-down feedback from ChatGPT users had, in OpenAI's words, "weakened the influence of our primary reward signal, which had been holding sycophancy in check." Separately, an Anthropic interpretability paper from 2025 located a linear direction in a model's internal activations corresponding to sycophantic behavior, and showed that such "persona vectors" could be used to flag sycophancy-inducing training data and to steer models away from the trait at inference time. == Measurement == The Anthropic team released SycophancyEval with its 2023 paper, supplying test sets for each of the four canonical behaviors. Two further benchmarks from Stanford followed in 2025. SycEval, applied to mathematical and medical reasoning tasks, reported an overall sycophancy rate of 58 per cent across the GPT-4o, Claude and Gemini models tested. ELEPHANT, aimed at social sycophancy, found that the eleven LLMs evaluated affirmed posts that the Reddit community r/AmITheAsshole had judged inappropriate in 42 per cent of cases, and preserved a user's face 45 percentage points more often than human respondents did. Domain-specific benchmarks have followed. BrokenMath tests robustness to plausible-looking but false mathematical claims drawn from competition problems, and reports that the best evaluated model was sycophantic in 29 per cent of cases. SYCON-Bench measures how many dialogue turns are required before a model abandons a correct position. Visual sycophancy in multimodal models has been examined with MM-SY and PENDULUM. A 2026 study by researchers at the Massachusetts Institute of Technology reported that personalization features, which adapt assistants to individual users over repeated sessions, can intensify social sycophancy. == Notable incidents == === GPT-4o rollback (April 2025) === On 25 April 2025, OpenAI completed the rollout of an update to GPT-4o, the default model used in ChatGPT at the time. Within days, users reported that the assistant had begun praising trivial messages in extravagant terms, endorsing impulsive or dangerous decisions, and reinforcing strong emotional statements without pushback. Widely shared examples included the model congratulating a user who reported stopping prescribed psychiatric medication, and praising a business plan to sell "shit on a stick" as venture-capital ready. OpenAI's chief executive, Sam Altman, wrote on 27 April that recent updates had made the model "too sycophant-y and annoying" and said fixes were in progress. The company began reverting the update on 28 April and completed the rollback for free users by 30 April. Two post-mortems followed: a short note on 29 April and a longer technical follow-up, "Expanding on what we missed with sycophancy", on 2 May. Both attributed the regression to a new training signal based on user thumbs-up and thumbs-down feedback, to inadequate pre-launch evaluation for sycophantic drift, and to the dismissal of qualitative concerns raised by internal testers before release. Reporting in CNN, Fortune and Bloomberg News treated the incident as a turning point in public awareness of the problem. === Chatbot-related psychological harm === From mid-2025 onward, news reports began to link sycophantic chatbot behavior to acute psychological harm. In June 2025, The New York Times technology reporter Kashmir Hill published an investigation centered on Eugene Torres, a Manhattan accountant with no history of mental illness, who developed a sustained delusional episode after a series of conversations with ChatGPT about simulation theory. According to the article, the assistant encouraged Torres to stop taking prescribed medication, to cut off friends and family, and at one point told him that he could fly from a nineteen-story building if he "truly believed". Futurism and Rolling Stone ran parallel investigations documenting other cases in which heavy use of ChatGPT had been associated with delusional thinking, involuntary commitment or, in at least one case, the death of a user with a pre-existing psychiatric diagnosis. A 2026 paper by researchers at the Massachusetts Institute of Technology and the University of Washington put forward a formal Bayesian model. It showed that even an ideally rational user could be drawn into what the authors call "delusional spiraling" when interacting with a sufficiently sycophantic assistant, and that the effect was not eliminated by suppressing hallucinations or by warning users in advance. The lawsuit Raine v. OpenAI, filed in San Francisco Superior Court in August 2025 by the parents of a sixteen-year-old who had died by suicide, alleges that "heightened sycophancy" was a design feature of ChatGPT that contributed to their son's death; it is the first wrongful-death suit against a large language-model provider. === Wider commentary === Mainstream coverage in outlets including The New York Times, The Washington Pos
Web intelligence
Web intelligence is the area of scientific research and development that explores the roles and makes use of artificial intelligence and information technology for new products, services and frameworks that are empowered by the World Wide Web. The term was coined in a paper written by Ning Zhong, Jiming Liu Yao and Y.Y. Ohsuga in the Computer Software and Applications Conference in 2000. == Research == The research about the web intelligence covers many fields – including data mining (in particular web mining), information retrieval, pattern recognition, predictive analytics, the semantic web, web data warehousing – typically with a focus on web personalization and adaptive websites.
Digital image processing
Digital image processing is the use of a digital computer to process digital images through an algorithm. As a subcategory or field of digital signal processing, digital image processing has many advantages over analog image processing. It allows a much wider range of algorithms to be applied to the input data and can avoid problems such as the build-up of noise and distortion during processing. Since images are defined over two dimensions (perhaps more), digital image processing may be modeled in the form of multidimensional systems. The generation and development of digital image processing are mainly affected by three factors: first, the development of computers; second, the development of mathematics (especially the creation and improvement of discrete mathematics theory); and third, the demand for a wide range of applications in environment, agriculture, military, industry and medical science has increased. == History == Many of the techniques of digital image processing, or digital picture processing as it often was called, were developed in the 1960s, at Bell Laboratories, the Jet Propulsion Laboratory, Massachusetts Institute of Technology, University of Maryland, and a few other research facilities, with application to satellite imagery, wire-photo standards conversion, medical imaging, videophone, character recognition, and photograph enhancement. The purpose of early image processing was to improve the quality of the image. In image processing, the input is a low-quality image, and the output is an image with improved quality. Common image processing includes image enhancement, restoration, encoding, and compression. The first successful application was the American Jet Propulsion Laboratory (JPL). They used image processing techniques such as geometric correction, gradation transformation, noise removal, etc. on the thousands of lunar photos sent back by the Space Detector Ranger 7 in 1964, taking into account the position of the Sun and the environment of the Moon. The impact of the successful mapping of the Moon's surface map by the computer has been a success. Later, more complex image processing was performed on the nearly 100,000 photos sent back by the spacecraft, so that the topographic map, color map and panoramic mosaic of the Moon were obtained, which achieved extraordinary results and laid a solid foundation for human landing on the Moon. The cost of processing was fairly high, however, with the computing equipment of that era. That changed in the 1970s, when digital image processing proliferated as cheaper computers and dedicated hardware became available. This led to images being processed in real-time, for some dedicated problems such as television standards conversion. As general-purpose computers became faster, they started to take over the role of dedicated hardware for all but the most specialized and computer-intensive operations. With the fast computers and signal processors available in the 2000s, digital image processing has become the most common form of image processing, and is generally used because it is not only the most versatile method, but also the cheapest. === Image sensors === The basis for modern image sensors is metal–oxide–semiconductor (MOS) technology, invented at Bell Labs between 1955 and 1960, This led to the development of digital semiconductor image sensors, including the charge-coupled device (CCD) and later the CMOS sensor. The charge-coupled device was invented by Willard S. Boyle and George E. Smith at Bell Labs in 1969. While researching MOS technology, they realized that an electric charge was the analogy of the magnetic bubble and that it could be stored on a tiny MOS capacitor. As it was fairly straightforward to fabricate a series of MOS capacitors in a row, they connected a suitable voltage to them so that the charge could be stepped along from one to the next. The CCD is a semiconductor circuit that was later used in the first digital video cameras for television broadcasting. The NMOS active-pixel sensor (APS) was invented by Olympus in Japan during the mid-1980s. This was enabled by advances in MOS semiconductor device fabrication, with MOSFET scaling reaching smaller micron and then sub-micron levels. The NMOS APS was fabricated by Tsutomu Nakamura's team at Olympus in 1985. The CMOS active-pixel sensor (CMOS sensor) was later developed by Eric Fossum's team at the NASA Jet Propulsion Laboratory in 1993. By 2007, sales of CMOS sensors had surpassed CCD sensors. MOS image sensors are widely used in optical mouse technology. The first optical mouse, invented by Richard F. Lyon at Xerox in 1980, used a 5 μm NMOS integrated circuit sensor chip. Since the first commercial optical mouse, the IntelliMouse introduced in 1999, most optical mouse devices use CMOS sensors. === Image compression === An important development in digital image compression technology was the discrete cosine transform (DCT), a lossy compression technique first proposed by Nasir Ahmed in 1972. DCT compression became the basis for JPEG, which was introduced by the Joint Photographic Experts Group in 1992. JPEG compresses images down to much smaller file sizes, and has become the most widely used image file format on the Internet. Its highly efficient DCT compression algorithm was largely responsible for the wide proliferation of digital images and digital photos, with several billion JPEG images produced every day as of 2015. Medical imaging techniques produce very large amounts of data, especially from CT, MRI and PET modalities. As a result, storage and communications of electronic image data are prohibitive without the use of compression. JPEG 2000 image compression is used by the DICOM standard for storage and transmission of medical images. The cost and feasibility of accessing large image data sets over low or various bandwidths are further addressed by use of another DICOM standard, called JPIP, to enable efficient streaming of the JPEG 2000 compressed image data. === Digital signal processor (DSP) === Electronic signal processing was revolutionized by the wide adoption of MOS technology in the 1970s. MOS integrated circuit technology was the basis for the first single-chip microprocessors and microcontrollers in the early 1970s, and then the first single-chip digital signal processor (DSP) chips in the late 1970s. DSP chips have since been widely used in digital image processing. The discrete cosine transform (DCT) image compression algorithm has been widely implemented in DSP chips, with many companies developing DSP chips based on DCT technology. DCTs are widely used for encoding, decoding, video coding, audio coding, multiplexing, control signals, signaling, analog-to-digital conversion, formatting luminance and color differences, and color formats such as YUV444 and YUV411. DCTs are also used for encoding operations such as motion estimation, motion compensation, inter-frame prediction, quantization, perceptual weighting, entropy encoding, variable encoding, and motion vectors, and decoding operations such as the inverse operation between different color formats (YIQ, YUV and RGB) for display purposes. DCTs are also commonly used for high-definition television (HDTV) encoder/decoder chips. == Tasks == Digital image processing allows the use of much more complex algorithms, and hence, can offer both more sophisticated performance at simple tasks, and the implementation of methods which would be impossible by analogue means. In particular, digital image processing is a concrete application of, and a practical technology based on: Classification Feature extraction Multi-scale signal analysis Pattern recognition Projection Some techniques that are used in digital image processing include: Anisotropic diffusion Hidden Markov models Image editing Image restoration Independent component analysis Linear filtering Neural networks Partial differential equations Pixelation Point feature matching Principal components analysis Self-organizing maps Wavelets == Digital image transformations == === Filtering === Digital filters are used to blur and sharpen digital images. Filtering can be performed by: convolution with specifically designed kernels (filter array) in the spatial domain masking specific frequency regions in the frequency (Fourier) domain The following examples show both methods: ==== Image padding in Fourier domain filtering ==== Images are typically padded before being transformed to the Fourier space, the highpass filtered images below illustrate the consequences of different padding techniques: Notice that the highpass filter shows extra edges when zero padded compared to the repeated edge padding. ==== Filtering code examples ==== MATLAB example for spatial domain highpass filtering. === Affine transformations === Affine transformations enable basic image transformations including scale, rotate, translate, mirror and shear as is shown in the following examples: To apply the affine
Automated medical scribe
Automated medical scribes (also called artificial intelligence scribes, AI scribes, digital scribes, virtual scribes, ambient AI scribes, AI documentation assistants, and digital/virtual/smart clinical assistants) are tools for transcribing medical speech, such as patient consultations and dictated medical notes. Many also produce summaries of consultations. Automated medical scribes based on large language models (LLMs, commonly called "AI", short for "artificial intelligence") increased drastically in popularity in 2024. There are privacy and antitrust concerns. Accuracy concerns also exist, and intensify in situations in which tools try to go beyond transcribing and summarizing, and are asked to format information by its meaning, since LLMs do not deal well with meaning (see weak artificial intelligence). Medics using these scribes are generally expected to understand the ethical and legal considerations, and supervise the outputs. The privacy protections of automated medical scribes vary widely. While it is possible to do all the transcription and summarizing locally, with no connection to the internet, most closed-source providers require that data be sent to their own servers over the internet, processed there, and the results sent back (as with digital voice assistants). Some retailers say their tools use zero-knowledge encryption (meaning that the service provider can't access the data). Others explicitly say that they use patient data to train their AIs, or rent or resell it to third parties; the nature of privacy protections used in such situations is unclear, and they are likely not to be fully effective. Most providers have not published any safety or utility data in academic journals, and are not responsive to requests from medical researchers studying their products. == Privacy == Some providers unclear about what happens to user data. Some may sell data to third parties. Some explicitly send user data to for-profit tech companies for secondary purposes, which may not be specified. Some require users to sign consents to such reuse of their data. Some ingest user data to train the software, promising to anonymize it; however, deanonymization may be possible (that is, it may become obvious who the patient is). It is intrinsically impossible to prevent an LLM from correlating its inputs; they work by finding similar patterns across very large data sets. Some information on the patient will be known from other sources (for instance, information that they were injured in an incident on a certain day might be available from the news media; information that they attended specific appointment locations at specific times is probably available to their cellphone provider/apps/data brokers; information about when they had a baby is probably implied by their online shopping records; and they might mention lifestyle changes to their doctor and on a forum or blog). The software may correlate such information with the "anonymized" clinical consultation record, and, asked about the named patient, provide information which they only told their doctor privately. Because a patient's record is all about the same patient, it is all unavoidably linked; in very many cases, medical histories are intrinsically identifiable. Depending on how common a condition and what other data is available, K-anonymity may be useless. Differential privacy could theoretically preserve privacy. Data broker companies like Google, Amazon, Apple and Microsoft have produced or bought up medical scribes, some of which use user data for secondary purposes, which has led to antitrust concerns. Transfer of patient records for AI training has, in the past, prompted legal action. Open-source programs typically do all the transcription locally, on the doctor's own computer. Open-source software is widely used in healthcare, with some national public healthcare bodies holding hack days. === Data resale and commercialization === Several AI medical scribe providers include terms in their service agreements that allow the reuse, sale, or commercialization of de-identified or user-submitted data. Although such data are generally described as anonymized or aggregated, these practices have raised ethical concerns among clinicians and privacy advocates regarding secondary uses of medical information beyond clinical documentation. Freed, an AI transcription and scribe platform, states in its Terms of Use that it may "collect, use, publish, disseminate, sell, transfer, and otherwise exploit" de-identified and aggregated data derived from user inputs. OpenEvidence similarly states that it may "collect, use, transfer, sell, and disclose non-personal information and customer usage data for any purpose including commercial uses." Doximity, which offers an AI-enabled medical scribe as part of its physician platform, grants itself a "nonexclusive, irrevocable, worldwide, perpetual, unlimited, assignable, sublicensable, royalty-free" license to "copy, prepare derivative works from, improve, distribute, publish, ... analyze, index, tag, [and] commercialize" content submitted by users, subject to its privacy policy. Because these terms allow broad secondary use—including sale, licensing, model-training, derivative works, and commercial exploitation of de-identified or user-submitted data—some commentators have recommended that clinicians review data-handling provisions carefully when adopting AI-scribe tools, particularly in clinical environments where patient privacy and regulatory compliance are critical. === Encryption === Multifactor authentication for access to the data is expected practice. Typically, Diffie–Hellman key exchange is used for encryption; this is the standard method commonly used for things like online banking. This encryption is expensive but not impossible to break; it is not generally considered safe against eavesdroppers with the resources of a nation-state. If content is encrypted between the client and the service provider's remote server (transport cryptography), then the server has an unencrypted copy. This is necessary if the data is used by the service provider (for instance, to train the software). Zero-knowledge encryption implies that the only unencrypted copy is at the client, and the server cannot decrypt the data any more easily than a monster-in-the-middle attacker. == Platforms == Scribes may operate on desktops, laptop, or mobile computers, under a variety of operating systems. These vary in their risks; for instance, mobiles can be lost. The underlying mobile or desktop operating systems are also part of the trusted computing base, and if they are not secure, the software relying on them cannot be secure either. Some AI medical scribe platforms are designed to operate as cloud-based applications that generate structured clinical documentation from clinician–patient conversations. These systems may offer features such as real-time transcription, document generation, and integration with electronic health record (EHR) systems. == Confabulation, omissions, and other errors == Like other LLMs, medical-scribe LLMs are prone to hallucinations, where they make up content based on statistically associations between their training data and the transcription audio. LLMs do not distinguish between trying to transcribe the audio and guessing what words will come next, but perform both processes mixed together. They are especially likely to take short silences or non-speech noises and invent some sort of speech to transcribe them as. LLM medical scribes have been known to confabulate racist and otherwise prejudiced content; this is partly because the training datasets of many LLMs contain pseudoscientific texts about medical racism. They may misgender patients. A survey found that most doctors preferred, in principle, that scribes be trained on data reviewed by medical subject experts. Relevant, accurate training data increases the probability of an accurate transcription, but does not guarantee accuracy. Software trained on thousands of real clinical conversations generated transcripts with lower word error rates. Software trained on manually-transcribed training data did better than software trained with automatically transcribed training data such as YouTube captions. Autoscribes omit parts of the conversation classes as irrelevant. The may wrongly classify pertinent information as irrelevant and omit it. They may also confuse historic and current symptoms, or otherwise misclassify information. They may also simply wrongly transcribe the speech, writing something incorrect instead. If clinicians do not carefully check the recording, such mistakes could make their way into their medical records and cause patient harms. == Patient consent == Professional organizations generally require that scribes be used only with patient consent; some bodies may require written consent. Medics must also abide by local surveillance laws, which may criminalize recording pri