# Using reasoning LLMs to extract SDOH events from clinical notes

arXiv: https://arxiv.org/abs/2604.13502 · HTML: https://mlsanity.com/paper/2604.13502/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 9 of its 32 references that are in the map.
- First posted on arXiv 15 Apr 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 9 of 9)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Self-Consistency Improves Chain of Thought Reasoning in Language Models](https://mlsanity.com/paper/2203.11171/) (2022)
- [Tulu 3: Pushing Frontiers in Open Language Model Post-Training](https://mlsanity.com/paper/2411.15124/) (2024)
- [Large Language Models to Identify Social Determinants of Health in Electronic Health Records](https://mlsanity.com/paper/2308.06354/) (2023)
- [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)
- [SODA: A Natural Language Processing Package to Extract Social Determinants of Health for Cancer Studies](https://mlsanity.com/paper/2212.03000/) (2022)
- [Leveraging Natural Language Processing to Augment Structured Social Determinants of Health Data in the Electronic Health Record](https://mlsanity.com/paper/2212.07538/) (2022)

## Abstract (arXiv)

Social Determinants of Health (SDOH) refer to environmental, behavioral, and social conditions that influence how individuals live, work, and age. SDOH have a significant impact on personal health outcomes, and their systematic identification and management can yield substantial improvements in patient care. However, SDOH information is predominantly captured in unstructured clinical notes within electronic health records, which limits its direct use as machine-readable entities. To address this issue, researchers have employed Natural Language Processing (NLP) techniques using pre-trained BERT-based models, demonstrating promising performance but requiring sophisticated implementation and extensive computational resources. In this study, we investigated prompt engineering strategies for extracting structured SDOH events utilizing LLMs with advanced reasoning capabilities. Our method consisted of four modules: 1) developing concise and descriptive prompts integrated with established guidelines, 2) applying few-shot learning with carefully curated examples, 3) using a self-consistency mechanism to ensure robust outputs, and 4) post-processing for quality control. Our approach achieved a micro-F1 score of 0.866, demonstrating competitive performance compared to the leading models. The results demonstrated that LLMs with reasoning capabilities are effective solutions for SDOH event extraction, offering both implementation simplicity and strong performance.