*   The project, the first in Spain and across the world in this area, stems 
from a collaboration agreement between the Community of Madrid (Department of 
Digitalization), Fundación 29 and Microsoft, to develop and implement 
innovative technological solutions that improve patient care and facilitate the 
work of healthcare professionals.
  *   As a pilot project, this web application will be accessible at Primary 
Care centers in the Community of Madrid from the end of September. It is based 
on OpenAI’s Artificial Intelligence language model, GPT-4, with Microsoft’s 
Azure OpenAI Service and is backed by full security and ethical development 
standards.
  *   It will enable Primary Care medical professionals in the Community of 
Madrid to improve their skills and diagnose patients with rare diseases more 
accurately and quickly, expediting patient referrals to the appropriate 
specialists for the right treatment.
  *   This agreement also opens up future routes for AI application to improve 
healthcare service delivery, optimizing the resources available in the 
Community of Madrid.

Madrid Healthcare Service 
(SERMAS)<https://www.comunidad.madrid/servicios/salud> will be a pioneer in 
Spain and across the world in applying Generative Artificial Intelligence (AI) 
for the clinical diagnosis of rare diseases.

Through a collaboration agreement signed today by the Community of Madrid’s 
Department of Digitalization, Microsoft and its partner, Fundación 
29<https://www.foundation29.org/>, a pilot project will be launched at the end 
of September, providing Primary Care medical professionals in the Community of 
Madrid with a Generative AI-based application included into their IT platform.

On average, it takes patients with rare diseases at least five years to receive 
an accurate diagnosis and they have to visit up to seven specialists to reach 
this point. Despite this long process, more than half of these patients remain 
undiagnosed or are misdiagnosed. This can result in them receiving the wrong 
treatment that could be harmful and even aggravate their condition. With the 
support of the Generative AI application, DxGPT, from Fundación 29 and 
Microsoft, medical professionals can reduce the time this takes to minutes 
using an enterprise grade diagnostic process support tool. This web application 
does not replace physicians, but it does enhance their capabilities and helps 
them work faster.

Miguel López Valverde, Community of Madrid Head of Digitalization, said: 
«Artificial Intelligence, used with all the standards of responsibility and 
safety, is driving significant advances in Madrid healthcare. Projects like 
this demonstrate the advantages that new technologies are delivering in early 
detection processes, which are particularly useful for diagnosing rare 
diseases.»

«We are excited about this groundbreaking project using generative Artificial 
Intelligence to improve the diagnosis of rare diseases. This technology has 
great potential to support the work of healthcare professionals, reducing 
diagnostic times and improving accuracy, especially in complex cases. This 
pilot project will lay the groundwork for exploring new AI applications to 
improve patient care. We are grateful for the vision and support of the 
Department of Digitalization in implementing this initiative that will place 
the Community of Madrid at the forefront of digital transformation in 
healthcare,» stated Julián Isla, Head of Fundación 29.

«Artificial Intelligence is generating unprecedented opportunities for 
organizations of all sizes and from all industries. The healthcare sector is 
one where its application can bring the greatest benefits. We are delighted to 
collaborate with organizations such as the Community of Madrid’s Department of 
Digitalization and Fundación 29 to enable medical professionals from Madrid 
Health Service to provide a better service to patients,» stated Alberto 
Granados, President of Microsoft Spain.

IA always under medical supervision

The application, which functions as a conversational assistant, is based on AI 
Large Language Model developed by OpenAI with Microsoft’s Azure OpenAI Service, 
which helps leverage the capacity of the most advanced AI systems (including 
OpenAI’s GPT-4 and GPT-3.5), combined with Azure’s enterprise services and 
Microsoft’s AI-optimized infrastructure.

The process starts with a short clinical description of the patient that the 
physician enters into the tool. Based on this input and using GPT-4, DxGPT 
suggests a series of possible pathologies. Once the list of diseases is 
generated, more information can be added to fine tune the diagnosis, such as 
data sets and medical history or laboratory test results. This will help 
physicians make a more informed decision and refer patients to the appropriate 
specialists to expedite their treatment.


https://news.microsoft.com/es-es/2023/09/15/madrid-health-service-a-pioneer-in-applying-generative-artificial-intelligence-to-improve-diagnosis-for-patients-with-rare-diseases/
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