NCT07449429

Brief Summary

This study develops and validates a privacy-preserving OCR-LLM pipeline that converts admission history of present illness (HPI) records into structured coronary syndrome subtypes (STEMI, NSTEMI, unstable angina, and chronic coronary syndrome). The system first extracts text from de-identified HPI images using locally deployed OCR, then applies large language models with a fixed diagnostic prompt to generate subtype classification and evidence. Performance is evaluated in an internal validation cohort and multiple external datasets covering heterogeneous EHR templates, emergency department cases, and an English dataset from MIMIC-IV. A clinician usability study assesses changes in diagnostic accuracy and time with and without tool assistance.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
10

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Feb 2026

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 27, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

February 28, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 4, 2026

Completed
4 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 8, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 8, 2026

Completed
Last Updated

March 4, 2026

Status Verified

February 1, 2026

Enrollment Period

8 days

First QC Date

February 27, 2026

Last Update Submit

February 27, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall classification accuracy

    Time Frame: Up to completion of dataset evaluation (internal + external cohorts) Description: Proportion of cases with correct subtype (STEMI/NSTEMI/UA/CCS) compared with expert-adjudicated gold standard.

    1 month

Study Arms (5)

Internal Development and Validation Cohort

Retrospective cohort used for model development and internal validation. Inputs are de-identified admission HPI records (image or text) from the AIM-CHD dataset. Expert adjudication provides the reference standard labels for 4-class coronary syndrome subtyping (STEMI, NSTEMI, unstable angina, chronic coronary syndrome).

Device: OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)Device: Manual Clinical Data Review

Multicenter External Validation Cohort

Retrospective multicenter cohort used for external validation across heterogeneous EHR templates and documentation styles. De-identified admission HPI records are processed through the same OCR-LLM pipeline, and predictions are compared with expert adjudicated reference labels to assess generalizability.

Device: OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)Device: Manual Clinical Data Review

Emergency Department External Validation Cohort

Retrospective cohort representing real-world emergency department workflow. De-identified ED admission HPI records are used to evaluate model performance under time-sensitive, information-limited conditions and assess robustness to ED documentation variability.

Device: OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)Device: Manual Clinical Data Review

English EHR External Validation Cohort

Retrospective cohort derived from the public de-identified MIMIC-IV database. English admission notes/HPI text are used to evaluate cross-language transportability and performance of the same classification prompts and post-processing rules against reference labels derived by adjudication/structured diagnosis mapping (as prespecified in the protocol).

Device: OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)Device: Manual Clinical Data Review

Clinician Usability Cohort

Prospective usability evaluation cohort. Physicians complete a structured coronary syndrome subtyping task using admission HPI cases. Outcomes include diagnostic accuracy and time to completion; within-participant comparisons may be performed between unassisted and tool-assisted conditions as prespecified.

Device: OCR-Prompt-LLM Information Extraction and Classification Workflow (OCR-Prompt-LLM)Device: Manual Clinical Data Review

Interventions

An automated clinical data management workflow integrating Optical Character Recognition (OCR), optimized prompt engineering, and large language models (LLMs). The system processes unstructured inpatient/ED records (primarily admission history of present illness and related narrative text) to extract prespecified key clinical indicators (e.g., left ventricular ejection fraction, coronary syndrome subtype, medications) and to classify cases into prespecified coronary artery disease categories (e.g., unstable angina, STEMI, NSTEMI, chronic coronary syndrome). The workflow outputs structured fields and a classification result with supporting evidence excerpts.

Clinician Usability CohortEmergency Department External Validation CohortEnglish EHR External Validation CohortInternal Development and Validation CohortMulticenter External Validation Cohort

Standard manual process in which experienced clinicians review patient medical records and extract the same prespecified clinical indicators and coronary artery disease categories using routine clinical judgment and documentation review. This manual abstraction serves as the human benchmark for comparing diagnostic accuracy, completeness, and operational efficiency against the automated OCR-Prompt-LLM workflow.

Clinician Usability CohortEmergency Department External Validation CohortEnglish EHR External Validation CohortInternal Development and Validation CohortMulticenter External Validation Cohort

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

The study population includes (1) de-identified clinical encounter records and (2) physician participants for usability testing. For record-based cohorts, eligible encounters contain an admission/presentation History of Present Illness (HPI) (text or image-derived text) sufficient for 4-class coronary syndrome subtyping (e.g., STEMI, NSTEMI, unstable angina, chronic coronary syndrome). Records are analyzed at the encounter level and are organized into five dataset-based cohorts (internal validation, multicenter external validation, ED external validation, English EHR external validation, and clinician usability). Reference labels are assigned using a prespecified clinical adjudication process.

You may qualify if:

  • a4afaef-9dc1-47fc-874f-9dffaf7…
  • evant to coronary syndrome subtyping.
  • Cases with sufficient documentation to assign one of four target subtypes (STEMI, NSTEMI, UA, CCS) by adjudication.

You may not qualify if:

  • Non-CHD primary reason for admission after screening (for MIMIC-IV cohort).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Coronary Artery DiseaseAngina PectorisMyocardial InfarctionAcute Coronary SyndromeST Elevation Myocardial InfarctionNon-ST Elevated Myocardial Infarction

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesChest PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsInfarctionIschemiaPathologic ProcessesNecrosis

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 27, 2026

First Posted

March 4, 2026

Study Start

February 28, 2026

Primary Completion

March 8, 2026

Study Completion

March 8, 2026

Last Updated

March 4, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

To protect patient privacy and comply with the data management policies of the participating institutions (Fuwai Hospital and sub-centers), individual participant data will not be made publicly available. However, aggregated study results and statistical analyses will be included in the final publication.