Overview
AI-powered clinical documentation is rapidly transforming healthcare, from ambient scribes that generate SOAP notes to summarization tools that distill complex records. Rubric helps ensure these systems produce accurate, complete, and compliant documentation.Use Cases
Ambient Documentation
AI scribes that generate notes from provider-patient conversations
Visit Summarization
Condensing lengthy records into actionable summaries
Discharge Summaries
Automated generation of discharge documentation
Chart Abstraction
Extracting structured data from unstructured notes
What Rubric Evaluates
Clinical Accuracy
Does the generated note accurately reflect the patient encounter?- Factual correctness - Are symptoms, findings, and diagnoses correct?
- No hallucinations - Is everything supported by the source material?
- Appropriate terminology - Are medical terms used correctly?
Completeness
Does the note include all required elements?- Required sections - SOAP components, ROS, PE findings
- Critical information - Allergies, medications, red flags
- Billing support - HCC codes, quality measures
Compliance
Does the note meet regulatory requirements?- Documentation standards - CMS guidelines, specialty requirements
- Copy-forward detection - Inappropriate duplication from prior notes
- Attribution - Proper sourcing of historical information
Quick Start
Evaluation Metrics
| Metric | Description | Target |
|---|---|---|
| Factual Accuracy | Percentage of claims supported by source | > 95% |
| Completeness Score | Required elements present | > 90% |
| Hallucination Rate | Unsupported claims | < 2% |
| Code Accuracy | Correct ICD/CPT codes | > 85% |
