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Related Concept Videos

Introduction to Language of Pathophysiology ll01:17

Introduction to Language of Pathophysiology ll

This lesson explores key terms that describe how diseases progress, their outcomes, and their distribution in populations.Diagnostic tests identify diseases and monitor treatment. These include blood and urine tests, biopsies, imaging (X-ray, MRI), and detection of infectious agents.Remission is a reduction or disappearance of symptoms.Exacerbation refers to the worsening of symptoms, such as increased wheezing during an asthma attack.A precipitating factor triggers an acute episode, while a...
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Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
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Quality Assurance

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Related Experiment Video

Updated: Jun 16, 2026

Enhancing Efficiency and Radiolabeling Yields of Carbon-11 Radioligands for Clinical Research Using the Loop Method
09:08

Enhancing Efficiency and Radiolabeling Yields of Carbon-11 Radioligands for Clinical Research Using the Loop Method

Published on: December 20, 2024

LLM-in-the-Loop execution of clinical quality language.

Bell Raj Eapen1, Oladimeji M Adaramewa1, Xiaoqing Li1

  • 1Management Information Systems, University of Illinois, Springfield, IL, United States.

JAMIA Open
|June 15, 2026
PubMed
Summary

This study introduces an LLM-in-the-Loop (LitL) method to enhance Clinical Quality Language (CQL) for querying unstructured text. The open-source prototype improves data analysis by integrating LLMs into the CQL execution loop.

Keywords:
Clinical quality languageFHIRclinical decision supportlarge language modelsunstructured text

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Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
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Last Updated: Jun 16, 2026

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Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
03:14

Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness

Published on: December 6, 2024

Area of Science:

  • Health Informatics
  • Natural Language Processing
  • Clinical Decision Support

Background:

  • Clinical Quality Language (CQL) is crucial for standardized clinical decision support.
  • Querying unstructured clinical text remains a significant challenge in healthcare data analysis.
  • Existing CQL engines primarily handle structured data, limiting their application to narrative clinical notes.

Purpose of the Study:

  • To develop a method and open-source prototype for augmenting CQL with Large Language Models (LLMs).
  • To enable CQL to query unstructured clinical text by integrating LLMs into the execution loop.
  • To preserve compatibility with existing CQL infrastructure while expanding its capabilities.

Main Methods:

  • Modified a popular CQL engine to incorporate an LLM-in-the-Loop (LitL) pipeline.
  • The LitL pipeline is triggered when CQL references unstructured FHIR resources.
  • LLMs generate binary responses to natural language queries derived from CQL.

Main Results:

  • An open-source prototype implementing the LitL pattern and a modified CQL engine was developed.
  • Feasibility testing with two local LLMs yielded accuracies of 72% and 93%.
  • The prototype supports configurable models, prompts, and hyperparameters for flexible implementation.

Conclusions:

  • The LitL pattern successfully extends CQL capabilities to unstructured data.
  • This approach maintains compatibility with existing CQL standards and reduces LLM hallucination.
  • The free and open-source nature of the prototype facilitates wider adoption and further development.