Evaluating LLM Abilities to Understand Tabular Electronic Health Records: A Comprehensive Study of Patient Data Extraction and Retrieval

Fuente: arXiv
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Autori principali: Lovon, Jesus, Mouysset, Martin, Oleiwan, Jo, Moreno, Jose G., Damase-Michel, Christine, Tamine, Lynda
Natura: Preprint
Pubblicazione: 2025
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author Lovon, Jesus
Mouysset, Martin
Oleiwan, Jo
Moreno, Jose G.
Damase-Michel, Christine
Tamine, Lynda
author_facet Lovon, Jesus
Mouysset, Martin
Oleiwan, Jo
Moreno, Jose G.
Damase-Michel, Christine
Tamine, Lynda
contents Electronic Health Record (EHR) tables pose unique challenges among which is the presence of hidden contextual dependencies between medical features with a high level of data dimensionality and sparsity. This study presents the first investigation into the abilities of LLMs to comprehend EHRs for patient data extraction and retrieval. We conduct extensive experiments using the MIMICSQL dataset to explore the impact of the prompt structure, instruction, context, and demonstration, of two backbone LLMs, Llama2 and Meditron, based on task performance. Through quantitative and qualitative analyses, our findings show that optimal feature selection and serialization methods can enhance task performance by up to 26.79% compared to naive approaches. Similarly, in-context learning setups with relevant example selection improve data extraction performance by 5.95%. Based on our study findings, we propose guidelines that we believe would help the design of LLM-based models to support health search.
format Preprint
id arxiv_https___arxiv_org_abs_2501_09384
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Evaluating LLM Abilities to Understand Tabular Electronic Health Records: A Comprehensive Study of Patient Data Extraction and Retrieval
Lovon, Jesus
Mouysset, Martin
Oleiwan, Jo
Moreno, Jose G.
Damase-Michel, Christine
Tamine, Lynda
Computation and Language
Information Retrieval
Electronic Health Record (EHR) tables pose unique challenges among which is the presence of hidden contextual dependencies between medical features with a high level of data dimensionality and sparsity. This study presents the first investigation into the abilities of LLMs to comprehend EHRs for patient data extraction and retrieval. We conduct extensive experiments using the MIMICSQL dataset to explore the impact of the prompt structure, instruction, context, and demonstration, of two backbone LLMs, Llama2 and Meditron, based on task performance. Through quantitative and qualitative analyses, our findings show that optimal feature selection and serialization methods can enhance task performance by up to 26.79% compared to naive approaches. Similarly, in-context learning setups with relevant example selection improve data extraction performance by 5.95%. Based on our study findings, we propose guidelines that we believe would help the design of LLM-based models to support health search.
title Evaluating LLM Abilities to Understand Tabular Electronic Health Records: A Comprehensive Study of Patient Data Extraction and Retrieval
topic Computation and Language
Information Retrieval
url https://arxiv.org/abs/2501.09384