If you try to pitch hallucinations to these fields, they'll just choose 100% manual instead. It's a non-starter.
That being said, all doctors I have consulted with in the past year or so used signed electronic prescriptions.
That's not true. LLMs and OCR have very different failure modes. With LLMs, there is unbounded potential for hallucination, and the entire document is at risk. For example: if something in the lower right-hand corner of the page takes the model to a sparsely sampled part of the latent space, it can end up deciding that it makes sense to rewrite the document title! Or anything else. LLMs also have a pernicious habit of "helpfully" completing partial sentences that appear at the beginning or end of a page of text.
With OCR, errors are localized and have a greater chance of being detected when read.
I think for a lot of cases, the best solution is to fine-tune a model like LayoutLM, which can classify the actual text tokens in a document (whether obtained from OCR or a native text layer) using visual and spatial information. Then, there are no hallucinations and you can use uncertainty information from both the OCR (if used) and the text classification. But it does mean that you have to do the work of annotating data and training a model, rather than prompt engineering...
> If the OCR model gives you back 500 words all ranging from 0.70 to 0.95 confidence, what do you do? Reject the entire document if there's a single value below 0.90?
No, of course not. You have a human review the words/segments with low confidence.
In VLM/LLM powered methods, the missing/misred data will be hallucinated and you can't know whether something scanned correctly or not. I personally scan and OCR tons of personal documents, I prefer "gibberish" rather than "hallucinations", because they're easier to catch.
We had this problem before [0], on some Xerox scanners and copiers. Results will be disastrous. It's not a question of if, but when.
I personally tried Gemini and OpenAI's models for OCR, and no, I won't continue using them further.
[0]: https://www.theregister.com/2013/08/06/xerox_copier_flaw_mea...
Confidence intervals are a red herring. And only as good as the code interpreting them. If the OCR model gives you back 500 words all ranging from 0.70 to 0.95 confidence, what do you do? Reject the entire document if there's a single value below 0.90?
If so you'd be passing every single document to a human review, and might as well not run the OCR. But if you're not rejecting based on CI, then you're exposed to just as much risk as using an LLM.