Chart Review Tool
Coding Project
stream lit
colonoscopy procedure review
to increase efficiency
importing patient data, forms to put in. To export into JSAN format for easier structure
Used for colonoscopy procedure review, with modifications of code, you can make it able to review other procedures. Change the name of the forms, the formatting
ABle to navigate between different pieces
Different dates
Completion tracker
how many left to do for colonoscopies
Window adjustable if on computer, ipad, give realtime feedback in some of the boxes
MAkes it easy to use.
As far as functionality. Whenever using forms can autosave. Whenever you choose any of the answers, you don't have to worry about accidentally leaving
.json structure
structure of data excavated
user notes if questions of comments
streamlit pros and cons
interface
page elements
overally structure even to make
the cessation state
every time going between different patients
session state would change
saving data in between difficult, because of how often session state
code reruns every click
is data LLM. What is data.
Launch web app once you get python script, streamlit through terminal
if you import data
annotation to validate LLM.
Place where you can validate LLM, review the data
Actually extraction done by humans
to streamline human data extraction so it is less painful
Can LLM hijack architecture.
Architecture is easy part
architecture LLM to extract data
Gold standard
Josh can speak
time to take annotator app
perpetually one day away from being done
Now that it is working might as well use it
IDea LLM projects, we need to create a gold standard
gold standard dropping data into excel has validation issues, don't consistently put data in, don't put entire data in.
why can't we put all on one page
google form
building simple functionality idiot proof, took longer than expected.
MAke sure that the data autosaves, is stored somewhere.
You have a visual representation of the data when it is being saved.
When you hit next goes to next MRN.
select next mrn, load data.
All this seems like simple concepts, within logic of stream lit, reruns python code each time you interact with the app
different logic then python code runs.
Confusing when first learning
Redcap is current goldstandard in a standardized way
link multiple institutions
hippaa
hows this different than redcap
PAy for redcap at Mount Sinai. Complicated.
different annotators
loading a CSV file which has four columns of data which is MRN date, path text endo text
annotators
true false labels for each row to define whether each annotator is assigned to MRNs
read through CSV file to assign which CSV to light up and what each annotator is suppsed to do
searching for MRN, looking at notes related to MRN, wondering if app requires the MRN, requires the notes to be uplaoded or does it pull straight from the EMR.
Not pulled straight from EHR. Basically sequel query to pull path / endo reports
endo reports are a separate query.
portion are stored in pdfs which need to be manually downloaded, can't automate retrieval
maybe figure out automated retrieval of reports
went through charts, went through pdfs, labeled mrn and text
OCR to text populated csv file
OCR stands for "Optical Character Recognition." It is a technology that recognizes text within a digital image. It is commonly used to recognize text in scanned documents and images. OCR software can be used to convert a physical paper document, or an image into an accessible electronic version with text.
flow from Ohm up
most likely API call to database, if streamlit app is hotsted on secure location
can sit on top of EHR system
with multi user log in system
the amount of work to make it fully integrated
is it worth the yield out of what you get the platform
great value, best way to objectively look at value
medical students / interns / trainees try the app, they would be able
survey study
score ease of use
tried it on some ppl. 6 ppl have used it
scored it
find couple bugs
updated the use
we can get a survey
general consensus
ppl annoyed to do chart review, after using the app not so bad - > happy to do more
agnostic chart review tool, any chart review system
define the backend api calls.
MRN is in each EHR
notes look somewhat similar
epic across all hospitals, agnostic
access by clinicians
separate product entirely
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