Large Language Models for Patient Comments Multi-Label Classification

Patient experience and care quality are crucial for a hospital's sustainability and reputation. The analysis of patient feedback offers valuable insight into patient satisfaction and outcomes. However, the unstructured nature of these comments poses challenges for traditional machine learning methods following a supervised learning paradigm. This is due to the unavailability of labeled data and the nuances these texts encompass. This research explores leveraging Large Language Models (LLMs) in conducting Multi-label Text Classification (MLTC) of inpatient comments shared after a stay in the hospital. GPT-4o-Turbo was leveraged to conduct the classification. However, given the sensitive nature of patients' comments, a security layer is introduced before feeding the data to the LLM through a Protected Health Information (PHI) detection framework, which ensures patients' de-identification. Additionally, using the prompt engineering framework, zero-shot learning, in-context learning, and chain-of-thought prompting were experimented with. Results demonstrate that GPT-4o-Turbo, whether following a zero-shot or few-shot setting, outperforms traditional methods and Pre-trained Language Models (PLMs) and achieves the highest overall performance with an F1-score of 76.12% and a weighted F1-score of 73.61% followed closely by the few-shot learning results. Subsequently, the results' association with other patient experience structured variables (e.g., rating) was conducted. The study enhances MLTC through the application of LLMs, offering healthcare practitioners an efficient method to gain deeper insights into patient feedback and deliver prompt, appropriate responses.

GAMedX: Generative AI-based Medical Entity Data Extractor Using Large Language Models

In the rapidly evolving field of healthcare and beyond, the integration of generative AI in Electronic Health Records (EHRs) represents a pivotal advancement, addressing a critical gap in current information extraction techniques. This paper introduces GAMedX, a Named Entity Recognition (NER) approach utilizing Large Language Models (LLMs) to efficiently extract entities from medical narratives and unstructured text generated throughout various phases of the patient hospital visit. By addressing the significant challenge of processing unstructured medical text, GAMedX leverages the capabilities of generative AI and LLMs for improved data extraction. Employing a unified approach, the methodology integrates open-source LLMs for NER, utilizing chained prompts and Pydantic schemas for structured output to navigate the complexities of specialized medical jargon. The findings reveal significant ROUGE F1 score on one of the evaluation datasets with an accuracy of 98\%. This innovation enhances entity extraction, offering a scalable, cost-effective solution for automated forms filling from unstructured data. As a result, GAMedX streamlines the processing of unstructured narratives, and sets a new standard in NER applications, contributing significantly to theoretical and practical advancements beyond the medical technology sphere.