Using GPT-4 To Abstract Structured Data from Narrative Health Information

Here are the examples of the narrative reports I have used this video. Reports were also generated using GPT-4

Echo Report

Study Type: Transthoracic Echocardiogram (TTE)

Indications: Evaluation of left ventricular function and mitral regurgitation.

Findings:

The transthoracic echocardiogram revealed a reduced left ventricular (LV) systolic function with an ejection fraction of 35%. The mitral valve demonstrated severe mitral regurgitation (MR). The left atrium was found to be severely dilated. The right ventricle and right atrium appeared normal in size and function. The aortic valve exhibited mild aortic stenosis, and the tricuspid valve showed mild tricuspid regurgitation. The pulmonic valve had normal morphology and function. The aorta was normal in size, and there was no evidence of pericardial effusion. No intracardiac masses or thrombi were identified.

DEXA Reports

DEXA 1

Patient Name: Tom
Patient ID: 333
Date of Birth: 1/1/1945
Date of Study: 11/2/2017
Referring Physician: Marcin
Performing Radiologist: Marcin

Study Type: Dual-energy X-ray Absorptiometry (DXA) Scan
Indications: Evaluation of bone mineral density and osteoporosis risk.

Summary of Findings:
Site: Lumbar Spine (L1-L4)
T-score: -0.5
Z-score: 0.0
Bone Mineral Density (BMD): 1.200 g/cm²

Site: Left Femoral Neck
T-score: -0.4 Z-score: 0.1
Bone Mineral Density (BMD): 0.950 g/cm²

Site: Right Femoral Neck
T-score: -0.3
Z-score: 0.2 Bone
Mineral Density (BMD): 0.960 g/cm²

Site: Left Total Hip
T-score: -0.2
Z-score: 0.3
Bone Mineral Density (BMD): 1.050 g/cm²

Site: Right Total Hip
T-score: -0.1
Z-score: 0.4
Bone Mineral Density (BMD): 1.060 g/cm²
Impression:
1.	Normal bone mineral density is demonstrated in the lumbar spine, left femoral neck, right femoral neck, left total hip, and right total hip, as indicated by T-scores greater than -1.0.
Recommendations:
1.	Continue with a healthy lifestyle, including weight-bearing exercise, adequate intake of calcium and vitamin D, and smoking cessation if applicable.
2.	Follow-up DXA scan in 3-5 years or as clinically indicated to monitor bone mineral density over time.
Please discuss these results with the patient's primary care physician or endocrinologist for appropriate management and follow-up.

DEXA 2

Patient Name: Tom
Patient ID: 333
Date of Birth: 1/1/1945
Date of Study: 12/2/2022
Referring Physician: Marcin
Performing Radiologist: Mike

Study Type: Dual-energy X-ray Absorptiometry (DXA) Scan

Indications: Evaluation of bone mineral density and osteoporosis risk.

Summary of Findings:
Site: Lumbar Spine (L1-L4) T-score: -2.7 Z-score: -2.0 Bone Mineral Density (BMD): 0.850 g/cm²
Site: Left Femoral Neck T-score: -3.0 Z-score: -2.3 Bone Mineral Density (BMD): 0.600 g/cm²
Site: Right Femoral Neck T-score: -2.9 Z-score: -2.2 Bone Mineral Density (BMD): 0.610 g/cm²
Site: Left Total Hip T-score: -2.6 Z-score: -1.9 Bone Mineral Density (BMD): 0.720 g/cm²
Site: Right Total Hip T-score: -2.5 Z-score: -1.8 Bone Mineral Density (BMD): 0.730 g/cm²

Impression:
1.	Osteoporosis is present in the lumbar spine, left femoral neck, and right femoral neck, as indicated by T-scores of -2.5 or lower.
2.	Osteopenia is present in the left and right total hip, as indicated by T-scores between -1.0 and -2.5.

Recommendations:
1.	The patient should consult with their primary care physician or endocrinologist for further evaluation and management of osteoporosis.
2.	Initiation of appropriate pharmacologic therapy, such as bisphosphonates, should be considered to reduce the risk of fractures.
3.	Encourage weight-bearing exercise, smoking cessation, and adequate intake of calcium and vitamin D.
4.	Follow-up DXA scan in 1-2 years or as clinically indicated to monitor the progression of osteoporosis and response to therapy.
Please discuss these results with the patient's primary care physician or endocrinologist for appropriate management and follow-up.
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