u/changyang1230

https://www.coronial.com.au

I have been absolutely humbled by the overwhelmingly positive reception for this project since the previous post.

It turns out that an interest in access to coronial report was more universal than I thought, and this project fulfilled a need with a good use of LLM.

Since 7 days ago, I have continued to work on shipping improvements. Here are some updates.

New: Card carousel view

If you have narrowed your search result to 100 cases or less (say: search term "sepsis", with additional filter of state:wa and specialty: general surgery, the results can now be toggled from a list to card carousels. Swipe through on mobile, or use arrow keys on desktop. Good for browsing your shortlisted cases from a search result.

Smarter search and filtering

Dynamic Filter counts: when you search or apply a filter, the filter item counts update to reflect only what's actually in your current result set. Zero-count options disappear automatically.

"Has coroner recommendations" filter: 5,226 findings to date include specific recommendations from the coroner; you can now narrow to just those cases.

Better data quality

Specialty tagging: previously the LLM was given freedom to assign specialty name, this has resulted in some nonsense e.g. intensive care is given variants of intensive care, intensive_care, critical care, ICU etc. This is now appropriately constrained to a controlled list of 76 specialties.

Hospital name detection: similar issue to above, previously there were variants and nonsense e.g. "Emergency Department of Royal Adelaide Hospital" being considered a separate hospital, as well as one hospital having multiple variants e.g. "The Alfred", "Alfred Hospital" etc. These were cleaned up painstakingly (and follow AIHW hospital name as much as possible), and going forward all detected hospital names will snap to a known list to prevent similar duplications.

Discover page: As requested, added a few specialties e.g. radiology, oncology, respiratory, neurology.

Bug fixes:

- Scraping issues

- Fixed some states' broken PDF link.

Content:

- 14 new cases added from various jurisdictions.

Infrastructure:

- I have moved the hosting of the web app from Vercel to Cloudflare pages as we are easily exceeding the 10GB per month limit for the former.

- I will consider moving the API infrastructure from fly.io to Cloudflare D1.

Feedback welcome. The project is only as good as your suggestions and proposals.

Eight months ago I posted here asking whether a centralised coroner’s findings database was feasible and worthwhile. The response was encouraging. Life and other projects got in the way, but I finally got around to build it.

https://coronial.com.au

What it is

A searchable database of publicly available Australian coronial findings across all 8 states and territories, from 1979 to present. Currently 8,565 cases.

Every case has been AI-processed to extract structured tags: clinical specialty and setting, type of error (diagnostic, medication, procedural, communication, system, delay), drugs involved, coroner’s recommendations, preventability (as per coroner), escalation failures, AHPRA referrals, rural/remote flags, MHA involvement, and custody/care deaths. Each case has a short AI-generated summary and links to the original court document.

Why

Aviation has the NTSB and ATSB. Every significant accident is investigated, publicly reported, and disseminated so the entire industry can learn. Medicine has no equivalent at scale. M&M meetings are internal and invisible. Coronial findings are public but buried — no tagging, no cross-jurisdictional search, no easy way to ask “show me all airway-related deaths in Australian hospitals in the last five years.”

I’ve wanted this resource for years. So I built it.

Features

- Search - what was that case again where someone unfortunately died from a cataract surgery? When you search for the keyword cataract, you find not just one but two tragic cases directly related to cataract surgery, though there was also another accident case thought to be unrelated to recent cataract surgery, and a drowning case at Cataract Gorge.

- Discover - if you are an anaesthetist / psychiatrist / ED physician etc, you could specifically ask for randomly generated chosen cases. Or even “surprise me”.

- Filter - if you want to find last five years sepsis paediatric deaths in WA, you can find it by filter

- Read just the summary or the full report - you can read just the 30-second AI summary and extracted recommendations, or click into the original PDF.

Caveats

AI-generated tagging and summary makes the scale possible but introduces inevitable inaccuracies. Classifications may be wrong, summaries may miss nuance. Treat it as a discovery tool only — always read the original finding before drawing any conclusions. There’s a Report an inaccuracy link on every case page.

Free. No signup.

Feedback very welcome, especially errors, missing cases, or suggestions for additional tags that would add clinical value.