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Providing healthcare professionals with quick access to structured standardized information enables comprehensive analysis and improves clinical decision-making. However, an important part of the records in health institutions is in the form of free text. This paper proposes a pipeline that automatically extracts medical information from Electronic Medical Records (EMRs), based on large language models (LLMs) and a domain ontology defined and validated in collaboration with a medical expert. The output is a knowledge graph of clinical narratives that can be used to search through repositories of EMRs or discover new facts. To promote the standardization of the extracted medical terms, we link them to existing international coding systems using biomedical repositories (UMLS - Unified Medical Language System and BioPortal - Biomedical Ontology Repository). We showcase our approach on a set of Portuguese clinical texts of cases of Acute Myeloid Leukemia (AML) guided by one medical expert. We evaluate the quality of the extraction and of the knowledge graph.

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Knowledge-Aware Clinical Narrative Extraction Using Ontologies and Knowledge Graphs

  • 会议论文

  • 发表日期：

    2026年

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  • Maria Leite,
  • Rita Rb-Silva,
  • Nuno Guimarães,
  • Lise Stork,
  • Alípio Jorge

摘要

Providing healthcare professionals with quick access to structured standardized information enables comprehensive analysis and improves clinical decision-making. However, an important part of the records in health institutions is in the form of free text. This paper proposes a pipeline that automatically extracts medical information from Electronic Medical Records (EMRs), based on large language models (LLMs) and a domain ontology defined and validated in collaboration with a medical expert. The output is a knowledge graph of clinical narratives that can be used to search through repositories of EMRs or discover new facts. To promote the standardization of the extracted medical terms, we link them to existing international coding systems using biomedical repositories (UMLS - Unified Medical Language System and BioPortal - Biomedical Ontology Repository). We showcase our approach on a set of Portuguese clinical texts of cases of Acute Myeloid Leukemia (AML) guided by one medical expert. We evaluate the quality of the extraction and of the knowledge graph.