Evidence map›Paper›PMID 36795066›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

The 2022 n2c2/UW shared task on extracting social determinants of health.

Kevin Lybarger, Meliha Yetisgen, Özlem Uzuner

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Using reasoning LLMs to extract SDOH events from clinical notes.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  7. Review
  8. Review
  9. SDoH-GPT: using large language models to extract social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  10. Article
  11. Article
  12. Synth-SBDH: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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  20. Enhancing Cross-Domain Generalizability in Social Determinants of Health Extraction with Prompt-Tuning Large Language Models.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kevin LybargerDepartment of Information Sciences and Technology, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0001-5798-2664
Meliha YetisgenDepartment of Biomedical Informatics & Medical Education, University of Washington, Seattle, Washington, USA.
Özlem UzunerDepartment of Information Sciences and Technology, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0001-8011-9850

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
National NLP Clinical Challenges (n2c2): Challenges in Natural Language Processing for Clinical NarrativesR13LM013127 · NLM · GEORGE MASON UNIVERSITY · PI UZUNER, OZLEM · 2019 to 2023
$100k
Challenges in Natural Language Processing in Clinical TextR13LM011411 · NLM · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI UZUNER, OZLEM · 2012 to 2016
$98k
NCATS NIH HHS UL1 TR002319NLM NIH HHS R13 LM011411NLM NIH HHS R13 LM013127NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

objectiveThe n2c2/UW SDOH Challenge explores the extraction of social determinant of health (SDOH) information from clinical notes. The objectives include the advancement of natural language processing (NLP) information extraction techniques for SDOH and clinical information more broadly. This article presents the shared task, data, participating teams, performance results, and considerations for future work. MATERIALS AND

methodsThe task used the Social History Annotated Corpus (SHAC), which consists of clinical text with detailed event-based annotations for SDOH events, such as alcohol, drug, tobacco, employment, and living situation. Each SDOH event is characterized through attributes related to status, extent, and temporality. The task includes 3 subtasks related to information extraction (Subtask A), generalizability (Subtask B), and learning transfer (Subtask C). In addressing this task, participants utilized a range of techniques, including rules, knowledge bases, n-grams, word embeddings, and pretrained language models (LM).

resultsA total of 15 teams participated, and the top teams utilized pretrained deep learning LM. The top team across all subtasks used a sequence-to-sequence approach achieving 0.901 F1 for Subtask A, 0.774 F1 Subtask B, and 0.889 F1 for Subtask C.

conclusionsSimilar to many NLP tasks and domains, pretrained LM yielded the best performance, including generalizability and learning transfer. An error analysis indicates extraction performance varies by SDOH, with lower performance achieved for conditions, like substance use and homelessness, which increase health risks (risk factors) and higher performance achieved for conditions, like substance abstinence and living with family, which reduce health risks (protective factors).

Indexed as

Natural Language ProcessingSocial Determinants of HealthElectronic Health RecordsHumansInformation Storage and Retrievaldata miningelectronic health recordsmachine learningnatural language processingsocial determinants of health

Identifiers

PMID36795066
PMCPMC10354764

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.