SDOH-NLI: a Dataset for Inferring Social Determinants of Health from Clinical Notes

Adam Lelkes, Eric Loreaux, Tal Schuster, Ming-Jun Chen, Alvin Rajkomar


Abstract
Social and behavioral determinants of health (SDOH) play a significant role in shaping health outcomes, and extracting these determinants from clinical notes is a first step to help healthcare providers systematically identify opportunities to provide appropriate care and address disparities. Progress on using NLP methods for this task has been hindered by the lack of high-quality publicly available labeled data, largely due to the privacy and regulatory constraints on the use of real patients’ information. This paper introduces a new dataset, SDOH-NLI, that is based on publicly available notes and which we release publicly. We formulate SDOH extraction as a natural language inference task, and provide binary textual entailment labels obtained from human raters for a cross product of a set of social history snippets as premises and SDOH factors as hypotheses. Our dataset differs from standard NLI benchmarks in that our premises and hypotheses are obtained independently. We evaluate both “off-the-shelf” entailment models as well as models fine-tuned on our data, and highlight the ways in which our dataset appears more challenging than commonly used NLI datasets.
Anthology ID:
2023.findings-emnlp.317
Volume:
Findings of the Association for Computational Linguistics: EMNLP 2023
Month:
December
Year:
2023
Address:
Singapore
Editors:
Houda Bouamor, Juan Pino, Kalika Bali
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
4789–4798
Language:
URL:
https://aclanthology.org/2023.findings-emnlp.317
DOI:
10.18653/v1/2023.findings-emnlp.317
Bibkey:
Cite (ACL):
Adam Lelkes, Eric Loreaux, Tal Schuster, Ming-Jun Chen, and Alvin Rajkomar. 2023. SDOH-NLI: a Dataset for Inferring Social Determinants of Health from Clinical Notes. In Findings of the Association for Computational Linguistics: EMNLP 2023, pages 4789–4798, Singapore. Association for Computational Linguistics.
Cite (Informal):
SDOH-NLI: a Dataset for Inferring Social Determinants of Health from Clinical Notes (Lelkes et al., Findings 2023)
Copy Citation:
PDF:
https://aclanthology.org/2023.findings-emnlp.317.pdf