EndoExtract: Co-Designing Structured Text Extraction from Endometriosis Ultrasound Reports

Endometriosis ultrasound reports are often unstructured free-text documents that require manual abstraction for downstream tasks such as analytics, machine learning model training, and clinical auditing. We present EndoExtract, an on-premise LLM-powered system that extracts structured data from these reports and surfaces interpretive fields for human review. Through contextual inquiry with research assistants, we identified key workflow pain points: asymmetric trust between numerical and interpretive fields, repetitive manual highlighting, fatigue from sustained comparison, and terminology inconsistency across radiologists. These findings informed an interface that surfaces only interpretive fields for mandatory review, automatically highlights source evidence within PDFs, and separates batch extraction from human-paced verification. A formative workshop revealed that EndoExtract supports a shift from field-by-field data entry to supervisory validation, though participants noted risks of over-skimming and challenges in managing missing data.