Large Language Models are Few-Shot Clinical Information Extractors
Not on the map. Why?
Abstract (arXiv)
A long-running goal of the clinical NLP community is the extraction of important variables trapped in clinical notes. However, roadblocks have included dataset shift from the general domain and a lack of public clinical corpora and annotations. In this work, we show that large language models, such as InstructGPT, perform well at zero- and few-shot information extraction from clinical text despite not being trained specifically for the clinical domain. Whereas text classification and generation performance have already been studied extensively in such models, here we additionally demonstrate how to leverage them to tackle a diverse set of NLP tasks which require more structured outputs, including span identification, token-level sequence classification, and relation extraction. Further, due to the dearth of available data to evaluate these systems, we introduce new datasets for benchmarking few-shot clinical information extraction based on a manual re-annotation of the CASI dataset for new tasks. On the clinical extraction tasks we studied, the GPT-3 systems significantly outperform existing zero- and few-shot baselines.
Key facts. Cited by 206 papers in the map (data through 7 Oct 2026). Builds on 45 of its 85 references that are in the map. First posted on arXiv 25 May 2022.
Builds on
45 of 85 references.
References · 45
- 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
- 2020Language Models are Few-Shot Learnerscited by 32,199
- 2022Training language models to follow instructions with human feedbackcited by 15,712
- 2021Finetuned Language Models Are Zero-Shot Learnerscited by 3,747
- 2022OPT: Open Pre-trained Transformer Language Modelscited by 3,464
- 2013Distributed Representations of Words and Phrases and their Compositionalitycited by 3,462
- 2018Deep contextualized word representationscited by 2,285
- 2021Pre-train, Prompt, and Predict: A Systematic Survey of Prompting Methods in Natural Language Processingcited by 2,222
- 2019HuggingFace's Transformers: State-of-the-art Natural Language Processingcited by 2,201
- 2019BioBERT: a pre-trained biomedical language representation model for biomedical text miningcited by 1,935
- 2021Multitask Prompted Training Enables Zero-Shot Task Generalizationcited by 1,462
- 2022Rethinking the Role of Demonstrations: What Makes In-Context Learning Work?cited by 1,413
33 more
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,410
- 2020Domain-Specific Language Model Pretraining for Biomedical Natural Language Processingcited by 996
- 2019Publicly Available Clinical BERT Embeddingscited by 995
- 2020Exploiting Cloze Questions for Few Shot Text Classification and Natural Language Inferencecited by 934
- 2022Few-Shot Parameter-Efficient Fine-Tuning is Better and Cheaper than In-Context Learningcited by 886
- 2020Stanza: A Python Natural Language Processing Toolkit for Many Human Languagescited by 719
- 2017Snorkel: Rapid Training Data Creation with Weak Supervisioncited by 370
- 2021AI Chains: Transparent and Controllable Human-AI Interaction by Chaining Large Language Model Promptscited by 265
- 2019ScispaCy: Fast and Robust Models for Biomedical Natural Language Processingcited by 244
- 2017End-to-end Neural Coreference Resolutioncited by 240
- 2019A Unified MRC Framework for Named Entity Recognitioncited by 199
- 2021Want To Reduce Labeling Cost? GPT-3 Can Helpcited by 196
- 2021Reframing Instructional Prompts to GPTk's Languagecited by 176
- 2019Simple BERT Models for Relation Extraction and Semantic Role Labelingcited by 154
- 2021Template-Based Named Entity Recognition Using BARTcited by 153
- 2022Instruction Induction: From Few Examples to Natural Language Task Descriptionscited by 152
- 2018Construction of the Literature Graph in Semantic Scholarcited by 118
- 2019Entity-Relation Extraction as Multi-Turn Question Answeringcited by 96
- 2021WRENCH: A Comprehensive Benchmark for Weak Supervisioncited by 95
- 2022Thinking about GPT-3 In-Context Learning for Biomedical IE? Think Againcited by 83
- 2018A Corpus with Multi-Level Annotations of Patients, Interventions and Outcomes to Support Language Processing for Medical Literaturecited by 79
- 2022Language Models in the Loop: Incorporating Prompting into Weak Supervisioncited by 51
- 2020BERT-XML: Large Scale Automated ICD Coding Using BERT Pretrainingcited by 37
- 2020Joint Modeling of Chest Radiographs and Radiology Reports for Pulmonary Edema Assessmentcited by 37
- 2021GPT-3 Models are Poor Few-Shot Learners in the Biomedical Domaincited by 36
- 2020Learning to Ignore: Long Document Coreference with Bounded Memory Neural Networkscited by 29
- 2021Assessing the Impact of Automated Suggestions on Decision Making: Domain Experts Mediate Model Errors but Take Less Initiativecited by 28
- 2021On Generalization in Coreference Resolutioncited by 24
- 2022Co-training Improves Prompt-based Learning for Large Language Modelscited by 24
- 2022QaNER: Prompting Question Answering Models for Few-shot Named Entity Recognitioncited by 15
- 2020Extracting Structured Data from Physician-Patient Conversations By Predicting Noteworthy Utterancescited by 8
- 2022What GPT Knows About Who is Whocited by 7
- 2020Intimate Partner Violence and Injury Prediction From Radiology Reportscited by 4
Built on by
Citing papers per year: 2022: 2; 2023: 68; 2024: 68; 2025: 34; 2026: 34.
206 papers.
Sort:
By area:
- 2023Challenges and Applications of Large Language Modelscited by 251
- 2023Large Language Models for Generative Information Extraction: A Surveycited by 183
- 2023A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethicscited by 162
- 2024MDAgents: An Adaptive Collaboration of LLMs for Medical Decision-Makingcited by 162
- 2023Med-HALT: Medical Domain Hallucination Test for Large Language Modelscited by 156
- 2023Domain Specialization as the Key to Make Large Language Models Disruptive: A Comprehensive Surveycited by 134
- 2023DeID-GPT: Zero-shot Medical Text De-Identification by GPT-4cited by 128
- 2023A Survey of Large Language Models in Medicine: Progress, Application, and Challengecited by 123
- 2023Large Language Model Is Not a Good Few-shot Information Extractor, but a Good Reranker for Hard Samples!cited by 119
- 2023Opportunities and Challenges for ChatGPT and Large Language Models in Biomedicine and Healthcited by 118
- 2023Language Models Enable Simple Systems for Generating Structured Views of Heterogeneous Data Lakescited by 101
- 2023Do We Still Need Clinical Language Models?cited by 97
38 more
- 2023A Survey of Safety and Trustworthiness of Large Language Models through the Lens of Verification and Validationcited by 91
- 2023A Survey of GPT-3 Family Large Language Models Including ChatGPT and GPT-4cited by 81
- 2023Benchmarking large language models for biomedical natural language processing applications and recommendationscited by 78
- 2023LLMaAA: Making Large Language Models as Active Annotatorscited by 78
- 2023LLMs Accelerate Annotation for Medical Information Extractioncited by 77
- 2023CodeIE: Large Code Generation Models are Better Few-Shot Information Extractorscited by 67
- 2023Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Datacited by 66
- 2023Large AI Models in Health Informatics: Applications, Challenges, and the Futurecited by 61
- 2023Coupling Large Language Models with Logic Programming for Robust and General Reasoning from Textcited by 59
- 2023Self-Verification Improves Few-Shot Clinical Information Extractioncited by 52
- 2023Publicly Shareable Clinical Large Language Model Built on Synthetic Clinical Notescited by 51
- 2024Theoretical Analysis of Weak-to-Strong Generalizationcited by 46
- 2024A Toolbox for Surfacing Health Equity Harms and Biases in Large Language Modelscited by 45
- 2024Understanding the Dark Side of LLMs' Intrinsic Self-Correctioncited by 42
- 2024LLM-Ensemble: Optimal Large Language Model Ensemble Method for E-commerce Product Attribute Value Extractioncited by 39
- 2024Zero-Shot Clinical Trial Patient Matching with LLMscited by 35
- 2023CPLLM: Clinical Prediction with Large Language Modelscited by 34
- 2024A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directionscited by 34
- 2024LongHealth: A Question Answering Benchmark with Long Clinical Documentscited by 33
- 2023The Shaky Foundations of Clinical Foundation Models: A Survey of Large Language Models and Foundation Models for EMRscited by 29
- 2023Revisiting Large Language Models as Zero-shot Relation Extractorscited by 29
- 2024A Survey of Useful LLM Evaluationcited by 28
- 2024Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?cited by 28
- 2023Iterative Zero-Shot LLM Prompting for Knowledge Graph Constructioncited by 25
- 2023AI-Generated Content (AIGC) for Various Data Modalities: A Surveycited by 25
- 2023BioInstruct: Instruction Tuning of Large Language Models for Biomedical Natural Language Processingcited by 25
- 2024General surgery vision transformer: A video pre-trained foundation model for general surgerycited by 25
- 2025Large Language Models are Powerful Electronic Health Record Encoderscited by 25
- 2024Open (Clinical) LLMs are Sensitive to Instruction Phrasingscited by 23
- 2023A Comprehensive Survey on Relation Extraction: Recent Advances and New Frontierscited by 21
- 2023ExtractGPT: Exploring the Potential of Large Language Models for Product Attribute Value Extractioncited by 20
- 2023Knowledge-Infused Prompting: Assessing and Advancing Clinical Text Data Generation with Large Language Modelscited by 20
- 2024Using LLMs for the Extraction and Normalization of Product Attribute Valuescited by 20
- 2023CohortGPT: An Enhanced GPT for Participant Recruitment in Clinical Studycited by 19
- 2023An Empirical Evaluation of Prompting Strategies for Large Language Models in Zero-Shot Clinical Natural Language Processingcited by 19
- 2024Guiding Clinical Reasoning with Large Language Models via Knowledge Seedscited by 19
- 2024Fairness and Bias in Multimodal AI: A Surveycited by 19
- 2023Identifying and Extracting Rare Disease Phenotypes with Large Language Modelscited by 18
50 most cited of 206 All 206 (JSON)
- 2026Language Specificity vs. Domain Diversity: Benchmarking Transformers for Bangla Medical NER24 Sep 2026
- 2026A Rubric-Guided Large Language Model Solution for Opioid Use Disorder Computable Phenotyping4 Sep 2026
- 2026Quantitative Evidence Mining for Plausibility-Aware Biomedical AI: A Narrative Review and Conceptual Framework31 Aug 2026
- 2026Review Before Trust: Source-Grounded Integrity Gates for AI-Assisted Personal Health Records30 Aug 2026
- 2026Toward Automated Detection of Documentation Inconsistencies in Electronic Health Records24 Jul 2026
- 2026HERMES: Contrast-Aware Knowledge Graph Reasoning from Clinical Notes for Patient Outcome Prediction22 Jul 2026
- 2026A Multi-Agent System for Autonomous, Fine-Tuning-Free Clinical Symptom Detection: Development and Validation Study14 Jul 2026
- 2026Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning8 Jul 2026
- 2026Extracting Problem and Method Sentence from Scientific Papers: A Context-enhanced Transformer Using Formulaic Expression Desensitization25 Jun 2026
- 2026Enhancing Extubation Failure Prediction with LLM-Derived Features from Respiratory Therapy Clinical Notes17 Jun 2026
- 2026Configurable Clinical Information Extraction with Agentic RAG: What Works, What Breaks, and Why17 Jun 2026
- 2026Few-Shot Biomedical Relation Extraction with Large Language Models: A Viable Alternative to Supervised Learning?13 Jun 2026
38 more
- 2026sebis at CRF Filling 2026: A Two-Stage Local LLM Pipeline for Medical CRF Filling11 Jun 2026
- 2026Med-HEAL: Analyzing and Mitigating Hallucinations in Medical LLMs with Hallucination-Aware In-Context Learning31 May 2026
- 2026EPPC-OASIS: Ontology-Aware Adaptation and Structured Inference Refinement for Electronic Patient-Provider Communication Mining in Secure Messages22 May 2026
- 2026Retrieval-Augmented Large Language Models for Schema-Constrained Clinical Information Extraction14 May 2026
- 2026Self-Driving Datasets: From 20 Million Papers to Nuanced Biomedical Knowledge at Scale7 May 2026
- 2026Self-Prompting Small Language Models for Privacy-Sensitive Clinical Information Extraction5 May 2026
- 2026SchemaRAG: Dynamic Large Schema Reduction for LLM-driven Structured Information Extraction4 May 2026
- 2026Breaking the Autoregressive Chain: Hyper-Parallel Decoding for Efficient LLM-Based Attribute Value Extraction29 Apr 2026
- 2026VeriLLMed: Interactive Visual Debugging of Medical Large Language Models with Knowledge Graphs25 Apr 2026
- 2026Mask-to-Correct^+: Leveraging Retriever Diversity for Masking-guided Faithful Fact Correction21 Apr 2026
- 2026From Fuzzy to Formal: Scaling Hospital Quality Improvement with AI21 Apr 2026
- 2026LLM-Extracted Covariates for Clinical Causal Inference: Rethinking Integration Strategies18 Apr 2026
- 2026Multi-Task LLM with LoRA Fine-Tuning for Automated Cancer Staging and Biomarker Extraction14 Apr 2026
- 2026L2D-Clinical: Learning to Defer for Adaptive Model Selection in Clinical Text Classification14 Apr 2026
- 2026Leveraging Weighted Syntactic and Semantic Context Assessment Summary (wSSAS) Towards Text Categorization Using LLMs13 Apr 2026
- 2026A Multi-Stage Validation Framework for Trustworthy Large-scale Clinical Information Extraction using Large Language Models7 Apr 2026
- 2026TimeTox: An LLM-Based Pipeline for Automated Extraction of Time Toxicity from Clinical Trial Protocols22 Mar 2026
- 2026LLMs can construct powerful representations and streamline sample-efficient supervised learning12 Mar 2026
- 2026Personalized Prediction of Perceived Message Effectiveness Using Large Language Model Based Digital Twins23 Feb 2026
- 2026Who Does What? Archetypes of Roles Assigned to LLMs During Human-AI Decision-Making12 Feb 2026
- 2026Human-AI Co-design for Clinical Prediction Models14 Jan 2026
- 2026Schema-Grounded LLM Extraction for FHIR Patient Digital Twins9 Jan 2026
- 2025ClinNoteAgents: An LLM Multi-Agent System for Predicting and Interpreting Heart Failure 30-Day Readmission from Clinical Notes8 Dec 2025
- 2025COPE: Chain-Of-Thought Prediction Engine for Open-Source Large Language Model Based Stroke Outcome Prediction from Clinical Notes2 Dec 2025
- 2025ClinStructor: AI-Powered Structuring of Unstructured Clinical Texts14 Nov 2025
- 2025Investigating Large Language Models' Linguistic Abilities for Text Preprocessing13 Oct 2025
- 2025Are Large Language Models Effective Knowledge Graph Constructors?13 Oct 2025
- 2025A Tale of LLMs and Induced Small Proxies: Scalable Small Language Models for Knowledge Mining1 Oct 2025
- 2025COM-BOM: Bayesian Exemplar Search for Efficiently Exploring the Accuracy-Calibration Pareto Frontier1 Oct 2025
- 2025Causal Representation Learning from Multimodal Clinical Records under Non-Random Modality Missingness21 Sep 2025
- 2025Improving LLMs' Learning for Coreference Resolution14 Sep 2025
- 2025From scratch to silver: Creating trustworthy training data for patent-SDG classification using Large Language Models11 Sep 2025
- 2025Latent Factor Point Processes for Patient Representation in Electronic Health Records28 Aug 2025
- 2025Skill-based Explanations for Serendipitous Course Recommendation27 Aug 2025
- 2025Leveraging Large Language Models for Rare Disease Named Entity Recognition12 Aug 2025
- 2025AutoPCR: Automated Phenotype Concept Recognition by Prompting25 Jul 2025
- 2025CLI-RAG: A Retrieval-Augmented Framework for Clinically Structured and Context Aware Text Generation with LLMs9 Jul 2025
- 2025STRUCTSENSE: A Task-Agnostic Agentic Framework for Structured Information Extraction with Human-In-The-Loop Evaluation and Benchmarking4 Jul 2025
50 newest of 206 All 206 (JSON)
- 2023Coupling Large Language Models with Logic Programming for Robust and General Reasoning from Textcited by 59
- 2023Self-Verification Improves Few-Shot Clinical Information Extractioncited by 52
- 2024Understanding the Dark Side of LLMs' Intrinsic Self-Correctioncited by 42
- 2024Guiding Clinical Reasoning with Large Language Models via Knowledge Seedscited by 19
- 2024Recall, Retrieve and Reason: Towards Better In-Context Relation Extractioncited by 6
- 2026Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoningcited by 1
- 2025COPE: Chain-Of-Thought Prediction Engine for Open-Source Large Language Model Based Stroke Outcome Prediction from Clinical Notescited by 0
- 2026Aligning Clinical Needs and AI Capabilities: A Survey on LLMs for Medical Reasoning8 Jul 2026
- 2025COPE: Chain-Of-Thought Prediction Engine for Open-Source Large Language Model Based Stroke Outcome Prediction from Clinical Notes2 Dec 2025
- 2024Understanding the Dark Side of LLMs' Intrinsic Self-Correction19 Dec 2024
- 2024Recall, Retrieve and Reason: Towards Better In-Context Relation Extraction27 Apr 2024
- 2024Guiding Clinical Reasoning with Large Language Models via Knowledge Seeds11 Mar 2024
- 2023Coupling Large Language Models with Logic Programming for Robust and General Reasoning from Text15 Jul 2023
- 2023Self-Verification Improves Few-Shot Clinical Information Extraction30 May 2023
- 2024Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?cited by 28
- 2024Fairness and Bias in Multimodal AI: A Surveycited by 19
- 2024Multimodal Large Language Models with Fusion Low Rank Adaptation for Device Directed Speech Detectioncited by 6
- 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Modelcited by 0
- 2024Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?6 Nov 2024
- 2024Fairness and Bias in Multimodal AI: A Survey27 Jun 2024
- 2024Multimodal Large Language Models with Fusion Low Rank Adaptation for Device Directed Speech Detection13 Jun 2024
- 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Model29 Apr 2024
- 2025CLI-RAG: A Retrieval-Augmented Framework for Clinically Structured and Context Aware Text Generation with LLMscited by 4
- 2026Retrieval-Augmented Large Language Models for Schema-Constrained Clinical Information Extractioncited by 0
- 2026Configurable Clinical Information Extraction with Agentic RAG: What Works, What Breaks, and Whycited by 0
- 2026Configurable Clinical Information Extraction with Agentic RAG: What Works, What Breaks, and Why17 Jun 2026
- 2026Retrieval-Augmented Large Language Models for Schema-Constrained Clinical Information Extraction14 May 2026
- 2025CLI-RAG: A Retrieval-Augmented Framework for Clinically Structured and Context Aware Text Generation with LLMs9 Jul 2025
- 2023Challenges and Applications of Large Language Modelscited by 251
- 2023Large Language Models for Generative Information Extraction: A Surveycited by 183
- 2023A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethicscited by 162
- 2024MDAgents: An Adaptive Collaboration of LLMs for Medical Decision-Makingcited by 162
- 2023Med-HALT: Medical Domain Hallucination Test for Large Language Modelscited by 156
- 2023Domain Specialization as the Key to Make Large Language Models Disruptive: A Comprehensive Surveycited by 134
- 2023DeID-GPT: Zero-shot Medical Text De-Identification by GPT-4cited by 128
- 2023A Survey of Large Language Models in Medicine: Progress, Application, and Challengecited by 123
- 2023Large Language Model Is Not a Good Few-shot Information Extractor, but a Good Reranker for Hard Samples!cited by 119
- 2023Opportunities and Challenges for ChatGPT and Large Language Models in Biomedicine and Healthcited by 118
- 2023Language Models Enable Simple Systems for Generating Structured Views of Heterogeneous Data Lakescited by 101
- 2023Do We Still Need Clinical Language Models?cited by 97
12 most cited of 189 All 189 (JSON)
- 2026Language Specificity vs. Domain Diversity: Benchmarking Transformers for Bangla Medical NER24 Sep 2026
- 2026A Rubric-Guided Large Language Model Solution for Opioid Use Disorder Computable Phenotyping4 Sep 2026
- 2026Quantitative Evidence Mining for Plausibility-Aware Biomedical AI: A Narrative Review and Conceptual Framework31 Aug 2026
- 2026Review Before Trust: Source-Grounded Integrity Gates for AI-Assisted Personal Health Records30 Aug 2026
- 2026Toward Automated Detection of Documentation Inconsistencies in Electronic Health Records24 Jul 2026
- 2026HERMES: Contrast-Aware Knowledge Graph Reasoning from Clinical Notes for Patient Outcome Prediction22 Jul 2026
- 2026A Multi-Agent System for Autonomous, Fine-Tuning-Free Clinical Symptom Detection: Development and Validation Study14 Jul 2026
- 2026Extracting Problem and Method Sentence from Scientific Papers: A Context-enhanced Transformer Using Formulaic Expression Desensitization25 Jun 2026
- 2026Enhancing Extubation Failure Prediction with LLM-Derived Features from Respiratory Therapy Clinical Notes17 Jun 2026
- 2026Few-Shot Biomedical Relation Extraction with Large Language Models: A Viable Alternative to Supervised Learning?13 Jun 2026
- 2026sebis at CRF Filling 2026: A Two-Stage Local LLM Pipeline for Medical CRF Filling11 Jun 2026
- 2026Med-HEAL: Analyzing and Mitigating Hallucinations in Medical LLMs with Hallucination-Aware In-Context Learning31 May 2026
12 newest of 189 All 189 (JSON)