Evidence map›Paper›PMID 42100125›Full record

ArticleJAMIA open2026

Design and implementation of an end-to-end AI-driven colonoscopy recall workflow at scale.

Aman Mohapatra, Rachel Porth, Si Wong, Heather Hardway, Gail Piatkowski, John Shang, Maelys J Amat, Sarah Flier, Adam Salsman, Ted Fitzgerald and 6 more

Abstract read
In one paragraph

Article in JAMIA open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Aman MohapatraDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.ORCID https://orcid.org/0009-0003-9097-8319
Rachel PorthDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
Si WongInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
Heather HardwayHalo Solutions, LLC, Boston, MA, 02215, United States.
Gail PiatkowskiInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
John ShangInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
Maelys J AmatDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
Sarah FlierDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
Adam SalsmanInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
Ted FitzgeraldInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
Ayad ShammoutInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
David RubinsDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
Amy MillerDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
Venkat JegadeesanInformation Systems, Beth Israel Lahey Health, Boston, MA, 02215, United States.
Arvind RaviHalo Solutions, LLC, Boston, MA, 02215, United States.
Joseph D FeuersteinDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To develop a large-language-model (LLM)-centric workflow flow extraction and migration of clinician-documented colonoscopy recall recommendations from unstructured reports and letters during an enterprise-wide electronic health record (EHR) transition. Materials and Methods: A multi-stage workflow [Optical Character Recognition (OCR) -> LLM -> structured fields] was built around a central GPT-4 Turbo inference step following prompt optimization. Validation was performed on a held-out set ( Results: Prompt optimization enabled GPT-4 Turbo to achieve perfect concordance with clinician review in a small test set (macro-F1 = 1.0; Discussion: An LLM-driven workflow safely migrated preventive-care data at population scale, with potential accuracy improvements over traditional rule-based NLP approaches and substantial reductions in time and cost relative to manual review. Conclusion: LLMs can play a valuable role in high-quality structuring of clinical data, preserving longitudinal care continuity during EHR modernization.

Indexed as

artificial intelligencecolorectal cancer screeningdata migrationelectronic health recordslarge language modelsnatural language processing

Identifiers

PMID42100125
PMCPMC13148243

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.