Evidence map›Paper›PMID 38819879›Full record

ArticleJournal of medical Internet research2024

Redefining Health Care Data Interoperability: Empirical Exploration of Large Language Models in Information Exchange.

Dukyong Yoon, Changho Han, Dong Won Kim, Songsoo Kim, SungA Bae, Jee An Ryu, Yujin Choi

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dukyong YoonDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-1635-8376
Changho HanDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-4121-5465
Dong Won KimDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-9716-2767
Songsoo KimDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-6908-4324
SungA BaeCenter for Digital Health, Yongin Severance Hospital, Yonsei University Health System, Yongin, Republic of Korea.ORCID 0000-0003-1484-4645
Jee An RyuDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0009-0000-3868-9497
Yujin ChoiDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0009-0005-8204-7463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEfficient data exchange and health care interoperability are impeded by medical records often being in nonstandardized or unstructured natural language format. Advanced language models, such as large language models (LLMs), may help overcome current challenges in information exchange.

objectiveThis study aims to evaluate the capability of LLMs in transforming and transferring health care data to support interoperability.

methodsUsing data from the Medical Information Mart for Intensive Care III and UK Biobank, the study conducted 3 experiments. Experiment 1 assessed the accuracy of transforming structured laboratory results into unstructured format. Experiment 2 explored the conversion of diagnostic codes between the coding frameworks of the ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification), and Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) using a traditional mapping table and a text-based approach facilitated by the LLM ChatGPT. Experiment 3 focused on extracting targeted information from unstructured records that included comprehensive clinical information (discharge notes).

resultsThe text-based approach showed a high conversion accuracy in transforming laboratory results (experiment 1) and an enhanced consistency in diagnostic code conversion, particularly for frequently used diagnostic names, compared with the traditional mapping approach (experiment 2). In experiment 3, the LLM showed a positive predictive value of 87.2% in extracting generic drug names.

conclusionsThis study highlighted the potential role of LLMs in significantly improving health care data interoperability, demonstrated by their high accuracy and efficiency in data transformation and exchange. The LLMs hold vast potential for enhancing medical data exchange without complex standardization for medical terms and data structure.

Indexed as

Health Information ExchangeElectronic Health RecordsHealth Information InteroperabilityHumansNatural Language ProcessingSystematized Nomenclature of Medicinedata standardizationhealth care interoperabilitylarge language modelsmedical data transformationtext-based

Identifiers

PMID38819879
PMCPMC11179014

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.