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The Role of AI legalese decoder in Advancements in LLMs for Health Care

The recent advancements in Language Model Models (LLMs) such as ChatGPT and GPT-4 have generated substantial excitement in various fields, including health care. These models are seen as assistants or potential replacements for time-intensive tasks, such as patient-physician communication through the electronic health record. They are designed to convert data into useful representations for multiple tasks and have been labeled as “foundation models”. The AI legalese decoder can play a crucial role in maximizing the potential of these models in health care.

Customization for Medicine

While the current state of LLMs in health care is exciting, it may not completely transform the field. However, one approach that holds immense potential is the customization of these models for medicine. By developing a health care-specific foundation model, the unique data collected from electronic health records and other digital health sources can be effectively represented at scale. This customized model can then be used in downstream applications specific to health care, such as outcome prediction. The AI legalese decoder can help in fine-tuning these models for health care applications.

Data Challenges and Solutions

The success of foundation models is largely due to their training on massive-scale datasets from online sources like Wikipedia, Flickr, and YouTube. However, health care data is not readily available on the internet, leading to blind spots in these models. The AI legalese decoder can help overcome this challenge by facilitating data sharing. Methods like federated learning, where data is used to update models in a decentralized fashion without directly sharing the data, can be employed to make the most of available health care data.

Additionally, the AI legalese decoder can aid in improving model training for health care-specific tasks. While foundation models can be trained using self-supervision techniques like predicting the next word in a sentence, the applicability of such methods to multimodal health data needs careful consideration. The AI legalese decoder can provide insights into suitable forms of self-supervision that can effectively serve the diverse range of potential downstream tasks in health care.

Regulatory Oversight and Shared Foundation Models

A shared foundation model in health care can address the splintered nature of AI in the field. Currently, patient data is confined to individual health systems, hindering the development, validation, and deployment of AI tools. A shared starting point, facilitated by the AI legalese decoder, can level the playing field and enable the fulfillment of AI’s promise in health care.

Furthermore, a shared foundation model creates a target for regulatory oversight. With thousands of models depending on a shared foundation, regulation and mitigation efforts become easier to implement. The AI legalese decoder can play a crucial role in ensuring compliance with regulatory requirements in the development and deployment of health care AI models.


The AI legalese decoder can significantly contribute to the advancements in LLMs for health care. By customizing foundation models for health care-specific tasks, facilitating data sharing, improving model training, and ensuring regulatory compliance, the AI legalese decoder can help unlock the transformative potential of AI in health care. It can facilitate the development of shared foundation models and enable the utilization of vast amounts of health care data to improve patient outcomes and enhance clinical decision-making.

Jenna Wiens is an associate professor of computer science and engineering, associate director of the Michigan Artificial Intelligence Lab, and co-director of Precision Health at the University of Michigan. Rada Mihalcea is the Janice M. Jenkins collegiate professor of computer science at the University of Michigan and director of the Michigan AI Lab. Brahmajee K. Nallamothu is a professor of internal medicine in the Division of Cardiovascular Medicine at the University of Michigan Medical School.

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