Efficient extraction of medication information from clinical notes: an evaluation in two languages

Fuente: arXiv
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Main Authors: Fabacher, Thibaut, Sauleau, Erik-André, Arcay, Emmanuelle, Faye, Bineta, Alter, Maxime, Chahard, Archia, Miraillet, Nathan, Coulet, Adrien, Névéol, Aurélie
Format: Preprint
Published: 2025
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author Fabacher, Thibaut
Sauleau, Erik-André
Arcay, Emmanuelle
Faye, Bineta
Alter, Maxime
Chahard, Archia
Miraillet, Nathan
Coulet, Adrien
Névéol, Aurélie
author_facet Fabacher, Thibaut
Sauleau, Erik-André
Arcay, Emmanuelle
Faye, Bineta
Alter, Maxime
Chahard, Archia
Miraillet, Nathan
Coulet, Adrien
Névéol, Aurélie
contents Objective: To evaluate the accuracy, computational cost and portability of a new Natural Language Processing (NLP) method for extracting medication information from clinical narratives. Materials and Methods: We propose an original transformer-based architecture for the extraction of entities and their relations pertaining to patients' medication regimen. First, we used this approach to train and evaluate a model on French clinical notes, using a newly annotated corpus from Hôpitaux Universitaires de Strasbourg. Second, the portability of the approach was assessed by conducting an evaluation on clinical documents in English from the 2018 n2c2 shared task. Information extraction accuracy and computational cost were assessed by comparison with an available method using transformers. Results: The proposed architecture achieves on the task of relation extraction itself performance that are competitive with the state-of-the-art on both French and English (F-measures 0.82 and 0.96 vs 0.81 and 0.95), but reduce the computational cost by 10. End-to-end (Named Entity recognition and Relation Extraction) F1 performance is 0.69 and 0.82 for French and English corpus. Discussion: While an existing system developed for English notes was deployed in a French hospital setting with reasonable effort, we found that an alternative architecture offered end-to-end drug information extraction with comparable extraction performance and lower computational impact for both French and English clinical text processing, respectively. Conclusion: The proposed architecture can be used to extract medication information from clinical text with high performance and low computational cost and consequently suits with usually limited hospital IT resources
format Preprint
id arxiv_https___arxiv_org_abs_2502_03257
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Efficient extraction of medication information from clinical notes: an evaluation in two languages
Fabacher, Thibaut
Sauleau, Erik-André
Arcay, Emmanuelle
Faye, Bineta
Alter, Maxime
Chahard, Archia
Miraillet, Nathan
Coulet, Adrien
Névéol, Aurélie
Computation and Language
Information Retrieval
Objective: To evaluate the accuracy, computational cost and portability of a new Natural Language Processing (NLP) method for extracting medication information from clinical narratives. Materials and Methods: We propose an original transformer-based architecture for the extraction of entities and their relations pertaining to patients' medication regimen. First, we used this approach to train and evaluate a model on French clinical notes, using a newly annotated corpus from Hôpitaux Universitaires de Strasbourg. Second, the portability of the approach was assessed by conducting an evaluation on clinical documents in English from the 2018 n2c2 shared task. Information extraction accuracy and computational cost were assessed by comparison with an available method using transformers. Results: The proposed architecture achieves on the task of relation extraction itself performance that are competitive with the state-of-the-art on both French and English (F-measures 0.82 and 0.96 vs 0.81 and 0.95), but reduce the computational cost by 10. End-to-end (Named Entity recognition and Relation Extraction) F1 performance is 0.69 and 0.82 for French and English corpus. Discussion: While an existing system developed for English notes was deployed in a French hospital setting with reasonable effort, we found that an alternative architecture offered end-to-end drug information extraction with comparable extraction performance and lower computational impact for both French and English clinical text processing, respectively. Conclusion: The proposed architecture can be used to extract medication information from clinical text with high performance and low computational cost and consequently suits with usually limited hospital IT resources
title Efficient extraction of medication information from clinical notes: an evaluation in two languages
topic Computation and Language
Information Retrieval
url https://arxiv.org/abs/2502.03257