Assessment of the Modified Rankin Scale in Electronic Health Records With a Fine-Tuned Large Language Model: Development and Internal Validation

Luis Silva   ^{1, 2} , MD, MPH ;   Marcus Milani   ^{2 *} , MS ;   Sohum Bindra   ^{2 *} ;   Salman Ikramuddin   ² , MD ;   Megan Tessmer   ² , BSN, RN ;   Kaylee Frederickson   ¹ , CCC-SLP ;   Abhigyan Datta   ¹ , MD ;   Halil Ergen   ^{2, 3} , PT, PhD ;   Alex Stangebye   ^{2, 4} , PT, DPT ;   Dawson Cooper   ² , BS ;   Kompal Kumar   ² ;   Jeremy Yeung   ² , MS ;   Kamakshi Lakshminarayan   ² , MBBS, PhD ;   Christopher Streib   ² , MD

¹ Department of Neurology, University of Florida, Gainesville, FL, United States

² Department of Neurology, University of Minnesota, Minneapolis, MN, United States

³ Department of Physical Therapy, Gaziantep University, Gaziantep, Turkey

⁴ Department of Physical Therapy, M Health Fairview, Minneapolis, MN, United States

*these authors contributed equally