Enhancing Clinical Efficiency through LLM: Discharge Note Generation for Cardiac Patients
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Abstract (arXiv)
Medical documentation, including discharge notes, is crucial for ensuring patient care quality, continuity, and effective medical communication. However, the manual creation of these documents is not only time-consuming but also prone to inconsistencies and potential errors. The automation of this documentation process using artificial intelligence (AI) represents a promising area of innovation in healthcare. This study directly addresses the inefficiencies and inaccuracies in creating discharge notes manually, particularly for cardiac patients, by employing AI techniques, specifically large language model (LLM). Utilizing a substantial dataset from a cardiology center, encompassing wide-ranging medical records and physician assessments, our research evaluates the capability of LLM to enhance the documentation process. Among the various models assessed, Mistral-7B distinguished itself by accurately generating discharge notes that significantly improve both documentation efficiency and the continuity of care for patients. These notes underwent rigorous qualitative evaluation by medical expert, receiving high marks for their clinical relevance, completeness, readability, and contribution to informed decision-making and care planning. Coupled with quantitative analyses, these results confirm Mistral-7B's efficacy in distilling complex medical information into concise, coherent summaries. Overall, our findings illuminate the considerable promise of specialized LLM, such as Mistral-7B, in refining healthcare documentation workflows and advancing patient care. This study lays the groundwork for further integrating advanced AI technologies in healthcare, demonstrating their potential to revolutionize patient documentation and support better care outcomes.
Key facts. Cited by 14 papers in the map (data through 7 Oct 2026). Builds on 9 of its 12 references that are in the map. First posted on arXiv 8 Apr 2024.
Builds on
9 of 12 references.
References · 9
- 2023LLaMA: Open and Efficient Foundation Language Modelscited by 13,958
- 2023QLoRA: Efficient Finetuning of Quantized LLMscited by 3,355
- 2023Mistral 7Bcited by 3,065
- 2024TinyLlama: An Open-Source Small Language Modelcited by 604
- 2024BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domainscited by 299
- 2023MEDITRON-70B: Scaling Medical Pretraining for Large Language Modelscited by 272
- 2023SOLAR 10.7B: Scaling Large Language Models with Simple yet Effective Depth Up-Scalingcited by 172
- 2021Radiology Report Generation with a Learned Knowledge Base and Multi-modal Alignmentcited by 71
- 2021Towards Clinical Encounter Summarization: Learning to Compose Discharge Summaries from Prior Notescited by 18
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Citing papers per year: 2024: 6; 2025: 6; 2026: 2.
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- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directionscited by 34
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervisioncited by 23
- 2024ReflecTool: Towards Reflection-Aware Tool-Augmented Clinical Agentscited by 20
- 2024MedTsLLM: Leveraging LLMs for Multimodal Medical Time Series Analysiscited by 15
- 2024Advancing Healthcare Automation: Multi-Agent System for Medical Necessity Justificationcited by 10
- 2026AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarizationcited by 4
- 2026SoK: Privacy-aware LLM in Healthcare: Threat Model, Privacy Techniques, Challenges and Recommendationscited by 1
- 2024Digital Twin Ecosystem for Oncology Clinical Operationscited by 0
- 2024GuidelineGuard: An Agentic Framework for Medical Note Evaluation with Guideline Adherencecited by 0
- 2025Towards Scalable SOAP Note Generation: A Weakly Supervised Multimodal Frameworkcited by 0
- 2025FASTGEN: Fast and Cost-Effective Synthetic Tabular Data Generation with LLMscited by 0
- 2025Skin-SOAP: A Weakly Supervised Framework for Generating Structured SOAP Notescited by 0
- 2026AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarization20 Jan 2026
- 2026SoK: Privacy-aware LLM in Healthcare: Threat Model, Privacy Techniques, Challenges and Recommendations15 Jan 2026
- 2025ECG-LLM -- training and evaluation of domain-specific large language models for electrocardiography21 Oct 2025
- 2025Mitigating Clinician Information Overload: Generative AI for Integrated EHR and RPM Data Analysis26 Aug 2025
- 2025Skin-SOAP: A Weakly Supervised Framework for Generating Structured SOAP Notes7 Aug 2025
- 2025FASTGEN: Fast and Cost-Effective Synthetic Tabular Data Generation with LLMs21 Jul 2025
- 2025Towards Scalable SOAP Note Generation: A Weakly Supervised Multimodal Framework12 Jun 2025
- 2025MedS3: Towards Medical Slow Thinking with Self-Evolved Soft Dual-sided Process Supervision21 Jan 2025
- 2024GuidelineGuard: An Agentic Framework for Medical Note Evaluation with Guideline Adherence9 Nov 2024
- 2024ReflecTool: Towards Reflection-Aware Tool-Augmented Clinical Agents23 Oct 2024
- 2024Digital Twin Ecosystem for Oncology Clinical Operations26 Sep 2024
- 2024MedTsLLM: Leveraging LLMs for Multimodal Medical Time Series Analysis14 Aug 2024
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directionscited by 34
- 2024MedTsLLM: Leveraging LLMs for Multimodal Medical Time Series Analysiscited by 15
- 2026AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarizationcited by 4
- 2026SoK: Privacy-aware LLM in Healthcare: Threat Model, Privacy Techniques, Challenges and Recommendationscited by 1
- 2024Digital Twin Ecosystem for Oncology Clinical Operationscited by 0
- 2025Towards Scalable SOAP Note Generation: A Weakly Supervised Multimodal Frameworkcited by 0
- 2025Skin-SOAP: A Weakly Supervised Framework for Generating Structured SOAP Notescited by 0
- 2025Mitigating Clinician Information Overload: Generative AI for Integrated EHR and RPM Data Analysiscited by 0
- 2026AgentEHR: Advancing Autonomous Clinical Decision-Making via Retrospective Summarization20 Jan 2026
- 2026SoK: Privacy-aware LLM in Healthcare: Threat Model, Privacy Techniques, Challenges and Recommendations15 Jan 2026
- 2025Mitigating Clinician Information Overload: Generative AI for Integrated EHR and RPM Data Analysis26 Aug 2025
- 2025Skin-SOAP: A Weakly Supervised Framework for Generating Structured SOAP Notes7 Aug 2025
- 2025Towards Scalable SOAP Note Generation: A Weakly Supervised Multimodal Framework12 Jun 2025
- 2024Digital Twin Ecosystem for Oncology Clinical Operations26 Sep 2024
- 2024MedTsLLM: Leveraging LLMs for Multimodal Medical Time Series Analysis14 Aug 2024
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions6 Jun 2024