CLAIDec 29, 2023

EHR Interaction Between Patients and AI: NoteAid EHR Interaction

arXiv:2312.17475v13 citationsh-index: 16
Originality Incremental advance
AI Analysis

This work addresses patient education in healthcare by applying LLMs to EHRs, though it is incremental as it builds upon existing NoteAid work.

The paper tackles the problem of helping patients understand Electronic Health Records by using Large Language Models to provide explanations and answer questions, demonstrating their potential through evaluations on datasets extracted from medical notes.

With the rapid advancement of Large Language Models (LLMs) and their outstanding performance in semantic and contextual comprehension, the potential of LLMs in specialized domains warrants exploration. This paper introduces the NoteAid EHR Interaction Pipeline, an innovative approach developed using generative LLMs to assist in patient education, a task stemming from the need to aid patients in understanding Electronic Health Records (EHRs). Building upon the NoteAid work, we designed two novel tasks from the patient's perspective: providing explanations for EHR content that patients may not understand and answering questions posed by patients after reading their EHRs. We extracted datasets containing 10,000 instances from MIMIC Discharge Summaries and 876 instances from the MADE medical notes collection, respectively, executing the two tasks through the NoteAid EHR Interaction Pipeline with these data. Performance data of LLMs on these tasks were collected and constructed as the corresponding NoteAid EHR Interaction Dataset. Through a comprehensive evaluation of the entire dataset using LLM assessment and a rigorous manual evaluation of 64 instances, we showcase the potential of LLMs in patient education. Besides, the results provide valuable data support for future exploration and applications in this domain while also supplying high-quality synthetic datasets for in-house system training.

Foundations

The foundational work for this paper's niche, ranked by how specifically the neighbourhood builds on it — not by global fame.

Your Notes