# Automated HIV Screening on Dutch Electronic Health Records with Large Language Models

arXiv: https://arxiv.org/abs/2510.19879 · HTML: https://mlsanity.com/paper/2510.19879/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 30 references that are in the map.
- First posted on arXiv 22 Oct 2025.

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

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [Gemma 3 Technical Report](https://mlsanity.com/paper/2503.19786/) (2025)
- [MedGemma Technical Report](https://mlsanity.com/paper/2507.05201/) (2025)
- [Complexity-Based Prompting for Multi-Step Reasoning](https://mlsanity.com/paper/2210.00720/) (2022)
- [Scalable Best-of-N Selection for Large Language Models via Self-Certainty](https://mlsanity.com/paper/2502.18581/) (2025)
- [When More is Less: Understanding Chain-of-Thought Length in LLMs](https://mlsanity.com/paper/2502.07266/) (2025)
- [BERTje: A Dutch BERT Model](https://mlsanity.com/paper/1912.09582/) (2019)
- [Encoder vs Decoder: Comparative Analysis of Encoder and Decoder Language Models on Multilingual NLU Tasks](https://mlsanity.com/paper/2406.13469/) (2024)
- [ScandEval: A Benchmark for Scandinavian Natural Language Processing](https://mlsanity.com/paper/2304.00906/) (2023)

## Abstract (arXiv)

Efficient screening and early diagnosis of HIV are critical for reducing onward transmission. Although large scale laboratory testing is not feasible, the widespread adoption of Electronic Health Records (EHRs) offers new opportunities to address this challenge. Existing research primarily focuses on applying machine learning methods to structured data, such as patient demographics, for improving HIV diagnosis. However, these approaches often overlook unstructured text data such as clinical notes, which potentially contain valuable information relevant to HIV risk. In this study, we propose a novel pipeline that leverages a Large Language Model (LLM) to analyze unstructured EHR text and determine a patient's eligibility for further HIV testing. Experimental results on clinical data from Erasmus University Medical Center Rotterdam demonstrate that our pipeline achieved high accuracy while maintaining a low false negative rate.