Leveraging LLMs for Structured Data Extraction from Unstructured Patient Records

Fuente: arXiv
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Main Authors: Klusty, Mitchell A., Solie, Elizabeth C., Leach, Caroline N., Logan, W. Vaiden, Richey, Lynnet E., Gensel, John C., Szczykutowicz, David P., McLellan, Bryan C., Collier, Emily B., Armstrong, Samuel E., Bumgardner, V. K. Cody
Format: Preprint
Published: 2025
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author Klusty, Mitchell A.
Solie, Elizabeth C.
Leach, Caroline N.
Logan, W. Vaiden
Richey, Lynnet E.
Gensel, John C.
Szczykutowicz, David P.
McLellan, Bryan C.
Collier, Emily B.
Armstrong, Samuel E.
Bumgardner, V. K. Cody
author_facet Klusty, Mitchell A.
Solie, Elizabeth C.
Leach, Caroline N.
Logan, W. Vaiden
Richey, Lynnet E.
Gensel, John C.
Szczykutowicz, David P.
McLellan, Bryan C.
Collier, Emily B.
Armstrong, Samuel E.
Bumgardner, V. K. Cody
contents Manual chart review remains an extremely time-consuming and resource-intensive component of clinical research, requiring experts to extract often complex information from unstructured electronic health record (EHR) narratives. We present a secure, modular framework for automated structured feature extraction from clinical notes leveraging locally deployed large language models (LLMs) on institutionally approved, Health Insurance Portability and Accountability Act (HIPPA)-compliant compute infrastructure. This system integrates retrieval augmented generation (RAG) and structured response methods of LLMs into a widely deployable and scalable container to provide feature extraction for diverse clinical domains. In evaluation, the framework achieved high accuracy across multiple medical characteristics present in large bodies of patient notes when compared against an expert-annotated dataset and identified several annotation errors missed in manual review. This framework demonstrates the potential of LLM systems to reduce the burden of manual chart review through automated extraction and increase consistency in data capture, accelerating clinical research.
format Preprint
id arxiv_https___arxiv_org_abs_2512_13700
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Leveraging LLMs for Structured Data Extraction from Unstructured Patient Records
Klusty, Mitchell A.
Solie, Elizabeth C.
Leach, Caroline N.
Logan, W. Vaiden
Richey, Lynnet E.
Gensel, John C.
Szczykutowicz, David P.
McLellan, Bryan C.
Collier, Emily B.
Armstrong, Samuel E.
Bumgardner, V. K. Cody
Artificial Intelligence
Computation and Language
Manual chart review remains an extremely time-consuming and resource-intensive component of clinical research, requiring experts to extract often complex information from unstructured electronic health record (EHR) narratives. We present a secure, modular framework for automated structured feature extraction from clinical notes leveraging locally deployed large language models (LLMs) on institutionally approved, Health Insurance Portability and Accountability Act (HIPPA)-compliant compute infrastructure. This system integrates retrieval augmented generation (RAG) and structured response methods of LLMs into a widely deployable and scalable container to provide feature extraction for diverse clinical domains. In evaluation, the framework achieved high accuracy across multiple medical characteristics present in large bodies of patient notes when compared against an expert-annotated dataset and identified several annotation errors missed in manual review. This framework demonstrates the potential of LLM systems to reduce the burden of manual chart review through automated extraction and increase consistency in data capture, accelerating clinical research.
title Leveraging LLMs for Structured Data Extraction from Unstructured Patient Records
topic Artificial Intelligence
Computation and Language
url https://arxiv.org/abs/2512.13700