Using ChatGPT to write patient clinic letters
Open accessAbstract
The appropriate recording and communication of clinical information between clinicians and patients are of paramount importance. Recently there has been a much-needed drive to improve the information that is shared with patients.1 However, the preparation of clinical letters can be time consuming. Although there has been an increase in the use of letter templates and voice recognition systems, with the aim of improving efficiency, novel technologies such as natural language processing (NLP) and artificial intelligence (AI) have the power to revolutionise this area of practice.
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LLMs, with advanced natural language processing abilities, offer a more comprehensive understanding of the medical literature, patient data, and individualized care requirements.
“LLMs, with advanced natural language processing abilities, offer a more comprehensive understanding of the medical literature, patient data, and individualized care requirements.146,147”
From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [146]
In “Using ChatGPT to write patient clinic letters” (page not provided), the paper describes NLP’s ability to process language and tests ChatGPT letters generated from limited clinical input, including instructions involving national guidelines. It does not establish that LLMs have a more comprehensive understanding of medical literature, patient data, or individualized care requirements. (LLM, conf=0.82)
Experimental — accuracy not yet measuredBoth Chat GPT and ambient AI have shown promise in streamlining clinical documentation in a variety of settings.
“Both Chat GPT and ambient AI have shown promise in streamlining clinical documentation in a variety of settings [5–7].”
From Artificial Intelligence (AI) – Powered Documentation Systems in Healthcare: A Systematic Review (2025) · cites this paper as [7]
Generation of inaccurate content can have severe negative consequences in health care.
“Additionally, the generation of inaccurate content can have severe negative consequences in health care; therefore, this valid concern should be cautiously considered in health care practice [30,32,53,84].”
From ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns (2023) · cites this paper as [84]
LLMs are built using natural language processing techniques and designed to recognize and understand the structure and meaning of human language, classify texts according to their content or purpose, and generate responses that are appropriate and coherent.
“LLMs are built using natural language processing techniques and designed to recognize and understand the structure and meaning of human language, classify texts according to their content or purpose, and generate responses that are appropriate and coherent.146”
From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [146]
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Cites
Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer
Raffel, C., Shazeer, N., Roberts, A., Lee, K., Narang, S., Matena, M., Zhou, Y., Li, W., & Liu, P. J. (2019) · arXiv · doi:10.48550/arxiv.1910.10683 · Cited by 10,929 · see citing works
Flagged first, then by citations
Research works printed but not linked: 6
- Jurafsky D, Martin JH. Speech and language processing, 3rd edn. Prentice Hall, 2009.
- Brown T, Mann B, Ryder N, et al. Language models are few-shot learners. arXiv 2020; published online July 22. https://doi.org/10.48550/ arXiv.2005.14165 (preprint). · DOI
- Vaswani A, Shazeer N, Parmar N, et al. Attention is all you need. NIPS'17: Proceedings of the 31st International Conference on Neural Information Processing Systems. December 2017 (abstr 5998-6008).
- Burke V, Greenberg D. Determining readability: how to select and apply easy-to-use readability formulas to assess the difficulty of adult literacy materials. Adult Basic Educ Lit 2010; 4: 34-42.
- Wang L-W, Miller MJ, Schmitt MR, Wen FK. Assessing readability formula differences with written health information materials: application, results, and recommendations. Res Social Adm Pharm 2013; 9: 503-16.
- Drury DJ, Kaur A, Dobbs T, Whitaker IS. The readability of outpatient plastic surgery clinic letters: are we adhering to plain English writing standards? Plast Surg Nurs 2021; 41: 27-33.
Cited by
Sorted by citations
Sallam, M. (2023) · Healthcare · doi:10.3390/healthcare11060887 · Cited by 3,126 · see citing works
“Additionally, the generation of inaccurate content can have severe negative consequences in health care; therefore, this valid concern should be cautiously considered in health care practice [30,32,53,84].”
BackgroundRay, P. P. (2023) · Internet of Things and Cyber-Physical Systems · doi:10.1016/j.iotcps.2023.04.003 · Cited by 2,463 · see citing works
Large Language Models in Medical Education: Opportunities, Challenges, and Future Directions
Abd-alrazaq, A., AlSaad, R., Alhuwail, D., Ahmed, A., Healy, P. M., Latifi, S., Aziz, S., Damseh, R., Alabed Alrazak, S., & Sheikh, J. (2023) · JMIR Medical Education · doi:10.2196/48291 · Cited by 722 · see citing works
Utility of ChatGPT in Clinical Practice
Liu, J., Wang, C., & Liu, S. (2023) · Journal of Medical Internet Research · doi:10.2196/48568 · Cited by 505 · see citing works
A study of generative large language model for medical research and healthcare
Peng, C., Yang, X., Chen, A., Smith, K. E., PourNejatian, N., Costa, A. B., Martin, C., Flores, M. G., Zhang, Y., Magoc, T., et al. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00958-w · Cited by 408 · see citing works
The application of large language models in medicine: A scoping review
Meng, X., Yan, X., Zhang, K., Liu, D., Cui, X., Yang, Y., Zhang, M., Cao, C., Wang, J., Wang, X., et al. (2024) · iScience · doi:10.1016/j.isci.2024.109713 · Cited by 414 · see citing works
ChatGPT in healthcare: A taxonomy and systematic review
Li, J., Dada, A., Puladi, B., Kleesiek, J., & Egger, J. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108013 · Cited by 452 · see citing works
A framework to assess clinical safety and hallucination rates of LLMs for medical text summarisation
Asgari, E., Montaña-Brown, N., Dubois, M., Khalil, S., Balloch, J., Yeung, J. A., & Pimenta, D. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01670-7 · Cited by 423 · see citing works
Zaretsky, J., Kim, J. M., Baskharoun, S., Zhao, Y., Austrian, J., Aphinyanaphongs, Y., Gupta, R., Blecker, S. B., & Feldman, J. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.0357 · Cited by 303 · see citing works
Artificial intelligence in diabetes management: Advancements, opportunities, and challenges
Guan, Z., Li, H., Liu, R., Cai, C., Liu, Y., Li, J., Wang, X., Huang, S., Wu, L., Liu, D., et al. (2023) · Cell Reports Medicine · doi:10.1016/j.xcrm.2023.101213 · Cited by 287 · see citing works
“146 The transition from previous AI technology to the current LLMs in diabetes management represents a significant leap in the capabilities of AI-driven health-care solutions.”
BackgroundA critical assessment of using ChatGPT for extracting structured data from clinical notes
Huang, J., Yang, D. M., Rong, R., Nezafati, K., Treager, C., Chi, Z., Wang, S., Cheng, X., Guo, Y., Klesse, L. J., et al. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01079-8 · Cited by 298 · see citing works
Large language models in medical and healthcare fields: applications, advances, and challenges
Wang, D., & Zhang, S. (2024) · Artificial Intelligence Review · doi:10.1007/s10462-024-10921-0 · Cited by 246 · see citing works
What large language models know and what people think they know
Steyvers, M., Tejeda, H., Kumar, A., Belem, C., Karny, S., Hu, X., Mayer, L. W., & Smyth, P. (2025) · Nature Machine Intelligence · doi:10.1038/s42256-024-00976-7 · Cited by 209 · see citing works
The clinicians’ guide to large language models: a general perspective with a focus on hallucinations
Roustan, D., & Bastardot, F. (2025) · Interactive Journal of Medical Research · doi:10.2196/59823 · Cited by 191 · see citing works
Assessing the research landscape and clinical utility of large language models: a scoping review
Park, Y.-J., Pillai, A., Deng, J., Guo, E., Gupta, M., Paget, M., & Naugler, C. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02459-6 · Cited by 187 · see citing works
Dennstädt, F., Hastings, J., Putora, P. M., Schmerder, M., & Cihoric, N. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01476-7 · Cited by 144 · see citing works
Ayre, J., Mac, O., McCaffery, K., McKay, B. R., Liu, M., Shi, Y., Rezwan, A., & Dunn, A. G. (2024) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08469-w · Cited by 124 · see citing works
Eppler, M., Ganjavi, C., Ramacciotti, L. S., Piazza, P., Rodler, S., Checcucci, E., Gomez Rivas, J., Kowalewski, K. F., Belenchón, I. R., Puliatti, S., et al. (2024) · European Urology · doi:10.1016/j.eururo.2023.10.014 · Cited by 117 · see citing works
Artificial Intelligence (AI) – Powered Documentation Systems in Healthcare: A Systematic Review
Bracken, A., Reilly, C., Feeley, A., Sheehan, E., Merghani, K., & Feeley, I. (2025) · Journal of Medical Systems · doi:10.1007/s10916-025-02157-4 · Cited by 113 · see citing works
“Both Chat GPT and ambient AI have shown promise in streamlining clinical documentation in a variety of settings [5–7].”
Harnessing the potential of large language models in medical education: promise and pitfalls
Benítez, T. M., Xu, Y., Boudreau, J. D., Kow, A. W. C., Bello, F., Van Phuoc, L., Wang, X., Sun, X., Leung, G. K.-K., Lan, Y., et al. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad252 · Cited by 100 · see citing works
Harnessing the Power of Generative AI for Clinical Summaries: Perspectives From Emergency Physicians
Barak-Corren, Y., Wolf, R., Rozenblum, R., Creedon, J. K., Lipsett, S. C., Lyons, T. W., Michelson, K. A., Miller, K. A., Shapiro, D. J., Reis, B. Y., et al. (2024) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2024.01.039 · Cited by 75 · see citing works
Ganjavi, C., Eppler, M., O’Brien, D., Ramacciotti, L. S., Ghauri, M. S., Anderson, I., Choi, J., Dwyer, D., Stephens, C., Shi, V., et al. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000596 · Cited by 73 · see citing works
Shao, C.-Y., Li, H., Liu, X.-L., Li, C., Yang, L.-Q., Zhang, Y.-J., Luo, J., & Zhao, J. (2023) · Interactive Journal of Medical Research · doi:10.2196/46900 · Cited by 49 · see citing works
The quality and safety of using generative AI to produce patient-centred discharge instructions
Stanceski, K., Zhong, S., Zhang, X., Khadra, S., Tracy, M., Koria, L., Lo, S., Naganathan, V., Kim, J., Dunn, A. G., et al. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01336-w · Cited by 45 · see citing works
Buzzaccarini, G., Degliuomini, R. S., & Borin, M. (2023) · Aesthetic Plastic Surgery · doi:10.1007/s00266-023-03416-w · Cited by 42 · see citing works
Suleiman, A., von Wedel, D., Munoz-Acuna, R., Redaelli, S., Santarisi, A., Seibold, E.-L., Ratajczak, N., Kato, S., Said, N., Sundar, E., et al. (2024) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2024.108313 · Cited by 27 · see citing works
Can ChatGPT outperform a neurosurgical trainee? a prospective comparative study.
Williams, S. C., Starup-Hansen, J., Funnell, J. P., Hanrahan, J. G., Valetopoulou, A., Singh, N., Sinha, S., Muirhead, W. R., & Marcus, H. J. (2025) · British Journal of Neurosurgery · doi:10.1080/02688697.2024.2308222 · Cited by 13 · see citing works
Fąferek, J., Kononowicz, A. A., Bogutska, N., Da Silva Domingues, V., Davydova, N., Frankowska, A., Iguacel, I., Mayer, A., Morin, L., Pavlyukovich, N., et al. (2025) · BMC Medical Education · doi:10.1186/s12909-025-08006-9 · Cited by 10 · see citing works
Jan, R. (2024) · Advances in Educational Technologies and Instructional Design · doi:10.4018/979-8-3693-0884-4.ch014 · Cited by 9 · see citing works
Agentic LLM Workflows for Generating Patient-Friendly Medical Reports
Sudarshan, M., Shih, S., Yee, E., Yang, A., Zou, J., Chen, C., Zhou, Q., Chen, L., Singhal, C., & Shih, G. (2024) · arXiv · doi:10.48550/arxiv.2408.01112 · Cited by 8 · see citing works
“The use of ChatGPT and similar LLMs for the generation of patient friendly letters is something that many others in the healthcare space have been experimenting with [5][10][23][24][25].”
Method
- Authors
- Ali, S. R., Dobbs, T. D., Hutchings, H. A., & Whitaker, I. S.
- Affiliations
- Morriston Hospital (GB)
- Swansea University (GB)
- Corresponding author
- Ali, Stephen R
- Venue
- The Lancet Digital Health
- Publisher
- Elsevier BV
- Published
- 2023-04
- Volume
- 5
- Issue
- 4
- Pages
- e179-e181
- ISSN
- 2589-7500 (ISSN-L)
- OpenAlex
- W4323350039
- Cited by
- 375
- References
- 1
- Citations by year
- 2026: 38 · 2025: 92 · 2024: 143 · 2023: 101
- FWCI
- 14.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Digital Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Health and Care Research Wales
- Scar Free Foundation
- BAPRAS
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning in Healthcare
- Keywords
- ChatGPT, artificial intelligence in healthcare, natural language processing, letter templates, voice recognition, patient communication
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