Streamlining Ophthalmic Documentation With Anonymized, Fine-Tuned Language Models: Feasibility Study
Our study demonstrates the technical and practical feasibility of introducing fine-tuned commercial LLMs into clinical practice. The AI-generated epicrises were formally and clinically correct in many cases and showed time-saving potential. While medical accuracy and usefulness varied across cases and should be focused on in further developments, a significant workload reduction is likely. Our anonymization process showed that regulatory challenges in the context of AI with patient data can effectively be dealt with. In summary, this study highlights the promise of transformer-based LLMs in reducing administrative tasks in health care. It outlines a pipeline for integrating LLMs into European Union clinical practice, emphasizing the need for careful implementation to ensure efficiency and patient safety.
Authors
- Quang Vinh Ngo (ORCID: https://orcid.org/0009-0002-8462-2781)
- Thomas Reinhard (ORCID: https://orcid.org/0000-0002-4937-6936)
- Felix Heilmeyer (ORCID: https://orcid.org/0000-0002-9068-2679)
- Daniel Böhringer (ORCID: https://orcid.org/0000-0001-9042-0508)
- Sebastian Arens (ORCID: https://orcid.org/0009-0007-7431-647X)
- Anna Richling
- Lucas Stürzbecher
Institutions
- University Medical Center Freiburg (DE)
Publication Details
- Journal
- Interactive Journal of Medical Research
- Published
- 2025-09-30
- DOI
- https://doi.org/10.2196/72894
- Primary Topic
- Electronic Health Records Systems
- Type
- article
- Field-Weighted Citation Impact
- 0.00