Automating infection indicator extraction in home healthcare through instruction-tuned large language models.
Home healthcare (HHC) clinical notes contain critical infection indicators that clinicians need in structured "indicator + context" pairs. Data sparsity and limited computing resources hinder automated extraction in decentralized HHC settings. This study developed and evaluated a resource-efficient pipeline using instruction-tuned, moderate-sized large language models (LLMs) to address these barriers. To address the data sparsity challenge, we also assessed the impact of a targeted LLM-based data augmentation strategy.
Author(s): Xu, Zidu, Song, Jiyoun, Zhou, Shuang, Scharp, Danielle, Hobensack, Mollie, Hu, Yan, Shang, Jingjing, Topaz, Maxim
DOI: 10.1093/jamia/ocag040