Structured Clinical Documentation as Upstream Data Engineering: A Systematic Review of Ambient-AI and LLM-Driven Inputs for Predictive Modeling in Healthcare
This systematic review of 52 studies demonstrates that structured clinical documentation technologies, ranging from rule-based templates to ambient-AI and LLM-driven systems, act as critical upstream data engineering mechanisms that enhance data quality and significantly improve the predictive performance of machine learning models for key healthcare outcomes, though further research is needed to address gaps in external validation and bias mitigation.