De-identification of clinical narratives with open source generative models

Authors

  • Elisa Terumi Rubel Schneider FMUSP
  • Fernando Henrique Schneider FMUSP
  • Yohan Bonescki Gumiel FMUSP
  • Lilian Mie Mukai Cintho Universidade Estadual de Ponta Grossa
  • Adriana Pagano Universidade Federal de Minas Gerais
  • Emerson Cabrera Paraiso Pontifícia Universidade Católica do Paraná
  • Marina de Sa Rebelo FMUSP
  • Marco Antonio Gutierrez FMUSP
  • Jose Eduardo Krieger FMUSP
  • Claudia Moro Pontifícia Universidade Católica do Paraná

DOI:

https://doi.org/10.59681/2175-4411.v16.iEspecial.2024.1365

Keywords:

Artificial Intelligence, Natural Language Processing, Medical Records

Abstract

Objectives: De-identifying clinical narratives is essential to protect patient privacy and ensure regulatory compliance. However, this is a complex task due to the various types of entities to be de-identified and the need to process texts locally for security and privacy reasons. Methods: This article presents an experimental study on the de-identification of clinical narratives using open-source generative models that can be run locally. Results: We evaluated the effectiveness of five language models, comparing them to GPT-4, a proprietary model. The models were assessed based on precision, recall, and F-score. Our preliminary results indicate that while GPT-4 achieved the best performance, the open-source model Llama3 by Meta demonstrated robustness and effectiveness in this task. Conclusion: This study contributes to the field by providing insights into the performance of different models in anonymizing clinical narratives.

Author Biographies

Elisa Terumi Rubel Schneider, FMUSP

PhD, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Fernando Henrique Schneider, FMUSP

BSc, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Yohan Bonescki Gumiel, FMUSP

PhD, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Lilian Mie Mukai Cintho, Universidade Estadual de Ponta Grossa

PhD, Universidade Estadual de Ponta Grossa (UEPG), Ponta Grossa (PR), Brazil

Adriana Pagano, Universidade Federal de Minas Gerais

PhD, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil

Emerson Cabrera Paraiso, Pontifícia Universidade Católica do Paraná

PhD, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba (PR), Brazil

Marina de Sa Rebelo, FMUSP

PhD, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Marco Antonio Gutierrez, FMUSP

PhD, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Jose Eduardo Krieger, FMUSP

PhD, Instituto do Coração - InCor/HC FMUSP, São Paulo (SP), Brazil

Claudia Moro, Pontifícia Universidade Católica do Paraná

PhD, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba (PR), Brazil

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Published

2024-11-19

How to Cite

Schneider, E. T. R., Schneider, F. H., Gumiel, Y. B., Cintho, L. M. M., Pagano, A., Paraiso, E. C., … Moro, C. (2024). De-identification of clinical narratives with open source generative models. Journal of Health Informatics, 16(Especial). https://doi.org/10.59681/2175-4411.v16.iEspecial.2024.1365

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