# Prompt-based Extraction of Social Determinants of Health Using Few-shot Learning

arXiv: https://arxiv.org/abs/2306.07170 · HTML: https://mlsanity.com/paper/2306.07170/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- Builds on 12 of its 26 references that are in the map.
- First posted on arXiv 12 Jun 2023.

## Builds on (most cited first, 12 of 12)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [Can large language models reason about medical questions?](https://mlsanity.com/paper/2207.08143/) (2022)
- [Span-based Joint Entity and Relation Extraction with Transformer Pre-training](https://mlsanity.com/paper/1909.07755/) (2019)
- [DeID-GPT: Zero-shot Medical Text De-Identification by GPT-4](https://mlsanity.com/paper/2303.11032/) (2023)
- [SciFive: a text-to-text transformer model for biomedical literature](https://mlsanity.com/paper/2106.03598/) (2021)
- [Annotating Social Determinants of Health Using Active Learning, and Characterizing Determinants Using Neural Event Extraction](https://mlsanity.com/paper/2004.05438/) (2020)
- [The 2022 n2c2/UW Shared Task on Extracting Social Determinants of Health](https://mlsanity.com/paper/2301.05571/) (2023)
- [A Study of Social and Behavioral Determinants of Health in Lung Cancer Patients Using Transformers-based Natural Language Processing Models](https://mlsanity.com/paper/2108.04949/) (2021)
- [Leveraging Natural Language Processing to Augment Structured Social Determinants of Health Data in the Electronic Health Record](https://mlsanity.com/paper/2212.07538/) (2022)

## Built on by (most cited first, 8 of 8)

- [Large Language Models to Identify Social Determinants of Health in Electronic Health Records](https://mlsanity.com/paper/2308.06354/) (2023)
- [Large Language Models in Biomedical and Health Informatics: A Review with Bibliometric Analysis](https://mlsanity.com/paper/2403.16303/) (2024)
- [Zero-shot Learning with Minimum Instruction to Extract Social Determinants and Family History from Clinical Notes using GPT Model](https://mlsanity.com/paper/2309.05475/) (2023)
- [Leveraging Large Language Models to Extract Information on Substance Use Disorder Severity from Clinical Notes: A Zero-shot Learning Approach](https://mlsanity.com/paper/2403.12297/) (2024)
- [Adaptation of Biomedical and Clinical Pretrained Models to French Long Documents: A Comparative Study](https://mlsanity.com/paper/2402.16689/) (2024)
- [Exploring the Human-LLM Synergy in Advancing Theory-driven Qualitative Analysis](https://mlsanity.com/paper/2405.05758/) (2024)
- [CACER: Clinical Concept Annotations for Cancer Events and Relations](https://mlsanity.com/paper/2409.03905/) (2024)
- [Can Large Language Models Integrate Spatial Data? Empirical Insights into Reasoning Strengths and Computational Weaknesses](https://mlsanity.com/paper/2508.05009/) (2025)

## Abstract (arXiv)

Social determinants of health (SDOH) documented in the electronic health record through unstructured text are increasingly being studied to understand how SDOH impacts patient health outcomes. In this work, we utilize the Social History Annotation Corpus (SHAC), a multi-institutional corpus of de-identified social history sections annotated for SDOH, including substance use, employment, and living status information. We explore the automatic extraction of SDOH information with SHAC in both standoff and inline annotation formats using GPT-4 in a one-shot prompting setting. We compare GPT-4 extraction performance with a high-performing supervised approach and perform thorough error analyses. Our prompt-based GPT-4 method achieved an overall 0.652 F1 on the SHAC test set, similar to the 7th best-performing system among all teams in the n2c2 challenge with SHAC.