Extracting social support and social isolation information from clinical psychiatry notes: comparing a rule-based natural language processing system and a large language model.

Journal: Journal of the American Medical Informatics Association : JAMIA
PMID: 39423850

Abstract

OBJECTIVES: Social support (SS) and social isolation (SI) are social determinants of health (SDOH) associated with psychiatric outcomes. In electronic health records (EHRs), individual-level SS/SI is typically documented in narrative clinical notes rather than as structured coded data. Natural language processing (NLP) algorithms can automate the otherwise labor-intensive process of extraction of such information.

Authors

  • Braja Gopal Patra
    School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX.
  • Lauren A Lepow
    Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Praneet Kasi Reddy Jagadeesh Kumar
    Department of Population Health Sciences, Weill Cornell Medicine, New York, NY 10065, USA.
  • Veer Vekaria
    Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.
  • Mohit Manoj Sharma
    Department of Population Health Sciences, Weill Cornell Medicine, New York, NY 10065, USA.
  • Prakash Adekkanattu
    Information Technologies and Services.
  • Brian Fennessy
    Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
  • Gavin Hynes
    Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
  • Isotta Landi
    The Hasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, 770 Lexington Ave, 15th Fl, New York, NY, 10065, USA.
  • Jorge A Sanchez-Ruiz
    Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
  • Euijung Ryu
    Department of Health Sciences Research, Mayo Clinic, Rochester, MN, 55905, USA.
  • Joanna M Biernacka
    Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
  • Girish N Nadkarni
    Division of Data-Driven and Digital Medicine (D3M), Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Ardesheer Talati
    Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY 10032, USA.
  • Myrna Weissman
    Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
  • Mark Olfson
    Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York.
  • J John Mann
    Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
  • Yiye Zhang
    Department of Healthcare Policy and Research, Weill Cornell Medical College/New York Presbyterian, NY, USA.
  • Alexander W Charney
    Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
  • Jyotishman Pathak
    Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.

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