A proof-of-concept study for patient use of open notes with large language models.

Journal: JAMIA open
Published Date: Apr 9, 2025

Abstract

OBJECTIVES: The use of large language models (LLMs) is growing for both clinicians and patients. While researchers and clinicians have explored LLMs to manage patient portal messages and reduce burnout, there is less documentation about how patients use these tools to understand clinical notes and inform decision-making. This proof-of-concept study examined the reliability and accuracy of LLMs in responding to patient queries based on an open visit note.

Authors

  • Liz Salmi
    Department of Women's and Children's Health, Uppsala University, 752 37 Uppsala, Sweden.
  • Dana M Lewis
    #OpenAPS, Seattle, WA 98101, United States.
  • Jennifer L Clarke
    Department of Neurological Surgery, University of California, San Francisco, CA 94117, United States.
  • Zhiyong Dong
    Departments of Histology and Embryology, Basic Medical College, Jilin University, Changchun 130021, PR China.
  • Rudy Fischmann
    Richmond, VA 23120, United States.
  • Emily I McIntosh
    Guelph, ON N1E 5J5, Canada.
  • Chethan R Sarabu
    OpenNotes, Beth Israel Deaconess Medical Center, Boston, MA 02215, United States.
  • Catherine M DesRoches
    OpenNotes, Beth Israel Deaconess Medical Center, Boston, MA 02215, United States.

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