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LLM Use to Identify Adolescent Patient Portal Account Access by Guardians

June 27, 2024
JAMA Network Open
A study published in JAMA Network Open assessed the effectiveness of using a large language model (LLM) to identify guardian authorship of messages in adolescent patient portals. Given HIPAA and minor consent laws, confidentiality is essential, but a significant number of adolescent portal accounts are accessed by guardians. The research tested GPT-4 on identifying such guardian-authored messages from a dataset and found high sensitivity (98.1–98.3%) and specificity (88.4–88.9%), outperforming prior natural language processing algorithms. This LLM-based approach could improve the detection of unauthorized access and enhance patient confidentiality in electronic health records.
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