Automating clinical phenotyping using natural language processing

To our knowledge, this is the first study to explore computable phenotyping algorithms based on clinical narrative text for these complex tasks, where prior inter-annotator agreements ranged from 0.54 to 0.98. There is no statistical evidence for a difference to the performance of human experts on this task. Our findings underline the potential of LLMs for computable phenotyping and may support large-scale cohort analyses from electronic health records and streamline chart review processes in the future.

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Publication Details

Journal
Communications Medicine
Published
2026-01-14
DOI
https://doi.org/10.1038/s43856-025-01337-0
Primary Topic
Machine Learning in Healthcare
Type
article
Field-Weighted Citation Impact
0.00

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article

Automating clinical phenotyping using natural language processing

Bernhard Y. Renard, Florian Borchert, Jellyana Peraza, Julian Hugo et al.
Communications Medicine
Machine Learning in Healthcare
article

Automating clinical phenotyping using natural language processing

Bernhard Y. Renard, Florian Borchert, Jellyana Peraza, Julian Hugo, Linea Schmidt, Susanne Ibing, Allison A. Marshall, Judy H. Cho, Erwin P. Böttinger
article en

Abstract

To our knowledge, this is the first study to explore computable phenotyping algorithms based on clinical narrative text for these complex tasks, where prior inter-annotator agreements ranged from 0.54 to 0.98. There is no statistical evidence for a difference to the performance of human experts on this task. Our findings underline the potential of LLMs for computable phenotyping and may support large-scale cohort analyses from electronic health records and streamline chart review processes in the future.

Communications MedicineVol. 6(1)
Mount Sinai Health System (US), Hasso Plattner Institute (DE), University of Potsdam (DE), Icahn School of Medicine at Mount Sinai (US)
Joachim Herz Stiftung, Georgia Clinical and Translational Science Alliance, Hasso Plattner Foundation, National Institutes of Health, National Center for Advancing Translational Sciences
Openalex Percentile: Top 89%
Machine Learning in Healthcare
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Automating clinical phenotyping using natural language processing — Bernhard Y. Renard, Florian Borchert, et al. · Communications Medicine (2026) | TGRS Research Map | TGRS