CLDec 4, 2025
Enhancing Clinical Note Generation with ICD-10, Clinical Ontology Knowledge Graphs, and Chain-of-Thought Prompting Using GPT-4Ivan Makohon, Mohamad Najafi, Jian Wu et al.
In the past decade a surge in the amount of electronic health record (EHR) data in the United States, attributed to a favorable policy environment created by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the 21st Century Cures Act of 2016. Clinical notes for patients' assessments, diagnoses, and treatments are captured in these EHRs in free-form text by physicians, who spend a considerable amount of time entering and editing them. Manually writing clinical notes takes a considerable amount of a doctor's valuable time, increasing the patient's waiting time and possibly delaying diagnoses. Large language models (LLMs) possess the ability to generate news articles that closely resemble human-written ones. We investigate the usage of Chain-of-Thought (CoT) prompt engineering to improve the LLM's response in clinical note generation. In our prompts, we use as input International Classification of Diseases (ICD) codes and basic patient information. We investigate a strategy that combines the traditional CoT with semantic search results to improve the quality of generated clinical notes. Additionally, we infuse a knowledge graph (KG) built from clinical ontology to further enrich the domain-specific knowledge of generated clinical notes. We test our prompting technique on six clinical cases from the CodiEsp test dataset using GPT-4 and our results show that it outperformed the clinical notes generated by standard one-shot prompts.
LGFeb 21, 2025
Assessing a Single Student's Concentration on Learning Platforms: A Machine Learning-Enhanced EEG-Based FrameworkZewen Zhuo, Mohamad Najafi, Hazem Zein et al.
This study introduces a specialized pipeline designed to classify the concentration state of an individual student during online learning sessions by training a custom-tailored machine learning model. Detailed protocols for acquiring and preprocessing EEG data are outlined, along with the extraction of fifty statistical features from five EEG signal bands: alpha, beta, theta, delta, and gamma. Following feature extraction, a thorough feature selection process was conducted to optimize the data inputs for a personalized analysis. The study also explores the benefits of hyperparameter fine-tuning to enhance the classification accuracy of the student's concentration state. EEG signals were captured from the student using a Muse headband (Gen 2), equipped with five electrodes (TP9, AF7, AF8, TP10, and a reference electrode NZ), during engagement with educational content on computer-based e-learning platforms. Employing a random forest model customized to the student's data, we achieved remarkable classification performance, with test accuracies of 97.6% in the computer-based learning setting and 98% in the virtual reality setting. These results underscore the effectiveness of our approach in delivering personalized insights into student concentration during online educational activities.