ehrextract 0.2.0__tar.gz

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
@@ -0,0 +1,205 @@
1
+ Copyright (c) 2026 Chen Zhang, Yibing Xia, Sanjay Mahant, Nathan Taback,
2
+ The Hospital for Sick Children, and the University of Toronto.
3
+ All rights reserved.
4
+
5
+ Apache License
6
+ Version 2.0, January 2004
7
+ http://www.apache.org/licenses/
8
+
9
+ TERMS AND CONDITIONS FOR USE, REPRODUCTION, AND DISTRIBUTION
10
+
11
+ 1. Definitions.
12
+
13
+ "License" shall mean the terms and conditions for use, reproduction,
14
+ and distribution as defined by Sections 1 through 9 of this document.
15
+
16
+ "Licensor" shall mean the copyright owner or entity authorized by
17
+ the copyright owner that is granting the License.
18
+
19
+ "Legal Entity" shall mean the union of the acting entity and all
20
+ other entities that control, are controlled by, or are under common
21
+ control with that entity. For the purposes of this definition,
22
+ "control" means (i) the power, direct or indirect, to cause the
23
+ direction or management of such entity, whether by contract or
24
+ otherwise, or (ii) ownership of fifty percent (50%) or more of the
25
+ outstanding shares, or (iii) beneficial ownership of such entity.
26
+
27
+ "You" (or "Your") shall mean an individual or Legal Entity
28
+ exercising permissions granted by this License.
29
+
30
+ "Source" form shall mean the preferred form for making modifications,
31
+ including but not limited to software source code, documentation
32
+ source, and configuration files.
33
+
34
+ "Object" form shall mean any form resulting from mechanical
35
+ transformation or translation of a Source form, including but
36
+ not limited to compiled object code, generated documentation,
37
+ and conversions to other media types.
38
+
39
+ "Work" shall mean the work of authorship, whether in Source or
40
+ Object form, made available under the License, as indicated by a
41
+ copyright notice that is included in or attached to the work
42
+ (an example is provided in the Appendix below).
43
+
44
+ "Derivative Works" shall mean any work, whether in Source or Object
45
+ form, that is based on (or derived from) the Work and for which the
46
+ editorial revisions, annotations, elaborations, or other modifications
47
+ represent, as a whole, an original work of authorship. For the purposes
48
+ of this License, Derivative Works shall not include works that remain
49
+ separable from, or merely link (or bind by name) to the interfaces of,
50
+ the Work and Derivative Works thereof.
51
+
52
+ "Contribution" shall mean any work of authorship, including
53
+ the original version of the Work and any modifications or additions
54
+ to that Work or Derivative Works thereof, that is intentionally
55
+ submitted to Licensor for inclusion in the Work by the copyright owner
56
+ or by an individual or Legal Entity authorized to submit on behalf of
57
+ the copyright owner. For the purposes of this definition, "submitted"
58
+ means any form of electronic, verbal, or written communication sent
59
+ to the Licensor or its representatives, including but not limited to
60
+ communication on electronic mailing lists, source code control systems,
61
+ and issue tracking systems that are managed by, or on behalf of, the
62
+ Licensor for the purpose of discussing and improving the Work, but
63
+ excluding communication that is conspicuously marked or otherwise
64
+ designated in writing by the copyright owner as "Not a Contribution."
65
+
66
+ "Contributor" shall mean Licensor and any individual or Legal Entity
67
+ on behalf of whom a Contribution has been received by Licensor and
68
+ subsequently incorporated within the Work.
69
+
70
+ 2. Grant of Copyright License. Subject to the terms and conditions of
71
+ this License, each Contributor hereby grants to You a perpetual,
72
+ worldwide, non-exclusive, no-charge, royalty-free, irrevocable
73
+ copyright license to reproduce, prepare Derivative Works of,
74
+ publicly display, publicly perform, sublicense, and distribute the
75
+ Work and such Derivative Works in Source or Object form.
76
+
77
+ 3. Grant of Patent License. Subject to the terms and conditions of
78
+ this License, each Contributor hereby grants to You a perpetual,
79
+ worldwide, non-exclusive, no-charge, royalty-free, irrevocable
80
+ (except as stated in this section) patent license to make, have made,
81
+ use, offer to sell, sell, import, and otherwise transfer the Work,
82
+ where such license applies only to those patent claims licensable
83
+ by such Contributor that are necessarily infringed by their
84
+ Contribution(s) alone or by combination of their Contribution(s)
85
+ with the Work to which such Contribution(s) was submitted. If You
86
+ institute patent litigation against any entity (including a
87
+ cross-claim or counterclaim in a lawsuit) alleging that the Work
88
+ or a Contribution incorporated within the Work constitutes direct
89
+ or contributory patent infringement, then any patent licenses
90
+ granted to You under this License for that Work shall terminate
91
+ as of the date such litigation is filed.
92
+
93
+ 4. Redistribution. You may reproduce and distribute copies of the
94
+ Work or Derivative Works thereof in any medium, with or without
95
+ modifications, and in Source or Object form, provided that You
96
+ meet the following conditions:
97
+
98
+ (a) You must give any other recipients of the Work or
99
+ Derivative Works a copy of this License; and
100
+
101
+ (b) You must cause any modified files to carry prominent notices
102
+ stating that You changed the files; and
103
+
104
+ (c) You must retain, in the Source form of any Derivative Works
105
+ that You distribute, all copyright, patent, trademark, and
106
+ attribution notices from the Source form of the Work,
107
+ excluding those notices that do not pertain to any part of
108
+ the Derivative Works; and
109
+
110
+ (d) If the Work includes a "NOTICE" text file as part of its
111
+ distribution, then any Derivative Works that You distribute must
112
+ include a readable copy of the attribution notices contained
113
+ within such NOTICE file, excluding those notices that do not
114
+ pertain to any part of the Derivative Works, in at least one
115
+ of the following places: within a NOTICE text file distributed
116
+ as part of the Derivative Works; within the Source form or
117
+ documentation, if provided along with the Derivative Works; or,
118
+ within a display generated by the Derivative Works, if and
119
+ wherever such third-party notices normally appear. The contents
120
+ of the NOTICE file are for informational purposes only and
121
+ do not modify the License. You may add Your own attribution
122
+ notices within Derivative Works that You distribute, alongside
123
+ or as an addendum to the NOTICE text from the Work, provided
124
+ that such additional attribution notices cannot be construed
125
+ as modifying the License.
126
+
127
+ You may add Your own copyright statement to Your modifications and
128
+ may provide additional or different license terms and conditions
129
+ for use, reproduction, or distribution of Your modifications, or
130
+ for any such Derivative Works as a whole, provided Your use,
131
+ reproduction, and distribution of the Work otherwise complies with
132
+ the conditions stated in this License.
133
+
134
+ 5. Submission of Contributions. Unless You explicitly state otherwise,
135
+ any Contribution intentionally submitted for inclusion in the Work
136
+ by You to the Licensor shall be under the terms and conditions of
137
+ this License, without any additional terms or conditions.
138
+ Notwithstanding the above, nothing herein shall supersede or modify
139
+ the terms of any separate license agreement you may have executed
140
+ with Licensor regarding such Contributions.
141
+
142
+ 6. Trademarks. This License does not grant permission to use the trade
143
+ names, trademarks, service marks, or product names of the Licensor,
144
+ except as required for reasonable and customary use in describing the
145
+ origin of the Work and reproducing the content of the NOTICE file.
146
+
147
+ 7. Disclaimer of Warranty. Unless required by applicable law or
148
+ agreed to in writing, Licensor provides the Work (and each
149
+ Contributor provides its Contributions) on an "AS IS" BASIS,
150
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or
151
+ implied, including, without limitation, any warranties or conditions
152
+ of TITLE, NON-INFRINGEMENT, MERCHANTABILITY, or FITNESS FOR A
153
+ PARTICULAR PURPOSE. You are solely responsible for determining the
154
+ appropriateness of using or redistributing the Work and assume any
155
+ risks associated with Your exercise of permissions under this License.
156
+
157
+ 8. Limitation of Liability. In no event and under no legal theory,
158
+ whether in tort (including negligence), contract, or otherwise,
159
+ unless required by applicable law (such as deliberate and grossly
160
+ negligent acts) or agreed to in writing, shall any Contributor be
161
+ liable to You for damages, including any direct, indirect, special,
162
+ incidental, or consequential damages of any character arising as a
163
+ result of this License or out of the use or inability to use the
164
+ Work (including but not limited to damages for loss of goodwill,
165
+ work stoppage, computer failure or malfunction, or any and all
166
+ other commercial damages or losses), even if such Contributor
167
+ has been advised of the possibility of such damages.
168
+
169
+ 9. Accepting Warranty or Additional Liability. While redistributing
170
+ the Work or Derivative Works thereof, You may choose to offer,
171
+ and charge a fee for, acceptance of support, warranty, indemnity,
172
+ or other liability obligations and/or rights consistent with this
173
+ License. However, in accepting such obligations, You may act only
174
+ on Your own behalf and on Your sole responsibility, not on behalf
175
+ of any other Contributor, and only if You agree to indemnify,
176
+ defend, and hold each Contributor harmless for any liability
177
+ incurred by, or claims asserted against, such Contributor by reason
178
+ of your accepting any such warranty or additional liability.
179
+
180
+ END OF TERMS AND CONDITIONS
181
+
182
+ APPENDIX: How to apply the Apache License to your work.
183
+
184
+ To apply the Apache License to your work, attach the following
185
+ boilerplate notice, with the fields enclosed by brackets "[]"
186
+ replaced with your own identifying information. (Don't include
187
+ the brackets!) The text should be enclosed in the appropriate
188
+ comment syntax for the file format. We also recommend that a
189
+ file or class name and description of purpose be included on the
190
+ same "printed page" as the copyright notice for easier
191
+ identification within third-party archives.
192
+
193
+ Copyright [yyyy] [name of copyright owner]
194
+
195
+ Licensed under the Apache License, Version 2.0 (the "License");
196
+ you may not use this file except in compliance with the License.
197
+ You may obtain a copy of the License at
198
+
199
+ http://www.apache.org/licenses/LICENSE-2.0
200
+
201
+ Unless required by applicable law or agreed to in writing, software
202
+ distributed under the License is distributed on an "AS IS" BASIS,
203
+ WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
204
+ See the License for the specific language governing permissions and
205
+ limitations under the License.
@@ -0,0 +1,185 @@
1
+ ehrextract
2
+ Copyright (c) 2026 Chen Zhang, Yibing Xia, Sanjay Mahant, Nathan Taback,
3
+ The Hospital for Sick Children, and the University of Toronto.
4
+ All rights reserved.
5
+
6
+ This product is licensed under the Apache License, Version 2.0 (the
7
+ "License"). You may obtain a copy of the License at
8
+
9
+ http://www.apache.org/licenses/LICENSE-2.0
10
+
11
+ The following terms supplement, but do not override, the License.
12
+
13
+ ================================================================
14
+ 1. Authors and institutions
15
+ ================================================================
16
+
17
+ ehrextract was created by:
18
+
19
+ Chen Zhang (lead author)
20
+ Yibing Xia (co-author)
21
+ Sanjay Mahant, MD (supervisor; The Hospital for Sick Children)
22
+ Nathan Taback, PhD (supervisor; University of Toronto)
23
+
24
+ at:
25
+
26
+ The Hospital for Sick Children (SickKids), Toronto, Canada
27
+ University of Toronto, Toronto, Canada
28
+
29
+ ================================================================
30
+ 2. Trademark and endorsement
31
+ ================================================================
32
+
33
+ Neither the names "The Hospital for Sick Children", "SickKids",
34
+ "University of Toronto", "U of T", nor the names of any of the authors
35
+ listed above may be used to endorse or promote products derived from
36
+ this Software, or to imply institutional review, approval, or
37
+ validation of any derivative work, without prior written permission
38
+ from the relevant institution or individual.
39
+
40
+ The presence of these names in copyright notices, attribution
41
+ documentation, and citations is permitted and required by the License;
42
+ endorsement of derivative products is not.
43
+
44
+ ================================================================
45
+ 3. Not a medical device
46
+ ================================================================
47
+
48
+ ehrextract IS NOT A MEDICAL DEVICE. It has not been cleared, certified,
49
+ or approved by:
50
+
51
+ - the U.S. Food and Drug Administration (FDA),
52
+ - Health Canada,
53
+ - the European Medicines Agency (EMA), or
54
+ - any other regulatory body.
55
+
56
+ It has not been validated for use in clinical decision-making, patient
57
+ diagnosis, treatment planning, triage, prognostic assessment, or any
58
+ other application that affects patient care. Users who deploy
59
+ ehrextract in any setting where its outputs may influence clinical
60
+ decisions do so entirely at their own risk and assume sole
61
+ responsibility for any harm that results.
62
+
63
+ ================================================================
64
+ 4. Privacy, PHI, and regulatory compliance
65
+ ================================================================
66
+
67
+ ehrextract does not detect Protected Health Information (PHI). The
68
+ egress-warning mechanism (consent.py) is informational only -- it is
69
+ NOT a privacy compliance control and MUST NOT be relied upon as such.
70
+
71
+ Users are solely responsible for ensuring that their use of ehrextract
72
+ complies with all applicable privacy, data-protection, and
73
+ data-residency laws, including but not limited to:
74
+
75
+ - the Health Insurance Portability and Accountability Act (HIPAA),
76
+ - the Personal Health Information Protection Act (PHIPA, Ontario),
77
+ - the Personal Information Protection and Electronic Documents
78
+ Act (PIPEDA, Canada),
79
+ - the General Data Protection Regulation (GDPR, EU),
80
+
81
+ and with the policies of any institutional Research Ethics Board (REB)
82
+ or Institutional Review Board (IRB) governing the data they process.
83
+
84
+ Routing PHI through any third-party API requires, at minimum, a signed
85
+ Business Associate Agreement (or local equivalent) and Zero-Data-
86
+ Retention enrollment with that provider. Users must verify these
87
+ arrangements independently; the listing of a provider in ehrextract's
88
+ documentation is not a representation of compliance.
89
+
90
+ ================================================================
91
+ 5. Acceptable-use restrictions
92
+ ================================================================
93
+
94
+ The authors and institutions named above expressly disclaim and do not
95
+ license use of ehrextract for any of the following purposes:
96
+
97
+ - re-identification of de-identified or pseudonymized records;
98
+ - mass surveillance of patient populations or individuals;
99
+ - insurance underwriting, eligibility determination, or claims
100
+ adjudication;
101
+ - employment or admissions decisions;
102
+ - immigration or border-screening decisions;
103
+ - law-enforcement intelligence-gathering;
104
+ - any application that produces or supports decisions of legal,
105
+ financial, or material consequence to an identified individual
106
+ without that individual's informed consent.
107
+
108
+ This list is non-exhaustive. Any use that could reasonably be expected
109
+ to cause disparate harm to individuals or groups is outside the scope
110
+ of the authors' and institutions' intent.
111
+
112
+ ================================================================
113
+ 6. Research use and output validation
114
+ ================================================================
115
+
116
+ ehrextract uses large language models that may produce hallucinated,
117
+ incomplete, or systematically biased outputs. The "parse_success"
118
+ column in ehrextract output indicates that the model's response was
119
+ syntactically valid against the schema; it does NOT indicate that the
120
+ extracted values are correct.
121
+
122
+ Any use of ehrextract output as research data requires human review of
123
+ every row before that data is treated as observed fact. Publications,
124
+ posters, abstracts, or reports that present ehrextract output as
125
+ ground-truth without per-row human validation are misuses of the
126
+ software and are not endorsed by the authors or institutions.
127
+
128
+ ================================================================
129
+ 7. Bias and fairness
130
+ ================================================================
131
+
132
+ ehrextract has not been audited for demographic, linguistic, or
133
+ clinical-context bias. The underlying language models are known to
134
+ exhibit disparate performance across populations defined by race,
135
+ ethnicity, gender, primary language, age, socioeconomic status, and
136
+ condition prevalence.
137
+
138
+ ehrextract MUST NOT be used in triage, resource allocation, eligibility
139
+ determination, or any other setting where disparate model performance
140
+ across demographic subgroups could cause unequal access to care or
141
+ disparate harm.
142
+
143
+ ================================================================
144
+ 8. Third-party adapters and models
145
+ ================================================================
146
+
147
+ ehrextract supports loading external LoRA adapters via the --adapter
148
+ flag and external model weights via --model. The authors and
149
+ institutions do NOT host, vet, validate, or vouch for any third-party
150
+ adapter or model. Use of an adapter does not imply that the adapter's
151
+ training data, license, or output behaviour has been reviewed.
152
+
153
+ Distributors of LoRA adapters or fine-tuned weights that advertise
154
+ compatibility with ehrextract are responsible for the licensing and
155
+ data-handling claims they make about their own artifacts.
156
+
157
+ ================================================================
158
+ 9. Maintenance and security
159
+ ================================================================
160
+
161
+ ehrextract is research-grade software released as a public-good
162
+ artifact. The authors make NO commitment to:
163
+
164
+ - respond to issues or pull requests within any timeframe,
165
+ - provide security patches for reported vulnerabilities,
166
+ - maintain compatibility with future versions of dependencies,
167
+ - support deployment in production environments, or
168
+ - continue development beyond the published version.
169
+
170
+ Operators who deploy ehrextract are solely responsible for monitoring
171
+ its dependencies, patching vulnerabilities, and assessing fitness for
172
+ their environment.
173
+
174
+ ================================================================
175
+ 10. No warranty
176
+ ================================================================
177
+
178
+ EHREXTRACT IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS
179
+ OR IMPLIED. SEE SECTIONS 7 AND 8 OF THE APACHE LICENSE 2.0 FOR THE
180
+ FULL DISCLAIMER OF WARRANTY AND LIMITATION OF LIABILITY.
181
+
182
+ ================================================================
183
+
184
+ For questions about acceptable use or institutional permission, contact
185
+ the corresponding author through the project repository.
@@ -0,0 +1,165 @@
1
+ Metadata-Version: 2.4
2
+ Name: ehrextract
3
+ Version: 0.2.0
4
+ Summary: Structured feature extraction from clinical notes
5
+ Author: Chen Zhang, Yibing Xia, Sanjay Mahant, Nathan Taback
6
+ License-Expression: Apache-2.0
7
+ Project-URL: Homepage, https://github.com/shifosss/ehrextract
8
+ Project-URL: Repository, https://github.com/shifosss/ehrextract
9
+ Project-URL: Issues, https://github.com/shifosss/ehrextract/issues
10
+ Project-URL: Changelog, https://github.com/shifosss/ehrextract/blob/main/CHANGELOG.md
11
+ Keywords: clinical,nlp,extraction,llm,structured-output
12
+ Classifier: Development Status :: 4 - Beta
13
+ Classifier: Intended Audience :: Healthcare Industry
14
+ Classifier: Intended Audience :: Science/Research
15
+ Classifier: Programming Language :: Python :: 3.11
16
+ Classifier: Programming Language :: Python :: 3.12
17
+ Classifier: Topic :: Scientific/Engineering :: Information Analysis
18
+ Requires-Python: >=3.11
19
+ Description-Content-Type: text/markdown
20
+ License-File: LICENSE
21
+ License-File: NOTICE
22
+ Requires-Dist: pandas>=2.0
23
+ Requires-Dist: pyyaml>=6.0
24
+ Requires-Dist: openpyxl>=3.1
25
+ Provides-Extra: hf
26
+ Requires-Dist: torch>=2.0; extra == "hf"
27
+ Requires-Dist: transformers>=4.56; extra == "hf"
28
+ Requires-Dist: peft>=0.10; extra == "hf"
29
+ Requires-Dist: accelerate>=0.30; extra == "hf"
30
+ Provides-Extra: openai
31
+ Requires-Dist: openai>=1.0; extra == "openai"
32
+ Provides-Extra: anthropic
33
+ Requires-Dist: anthropic>=0.30; extra == "anthropic"
34
+ Provides-Extra: dev
35
+ Requires-Dist: pytest>=7.4; extra == "dev"
36
+ Requires-Dist: pytest-cov>=4.1; extra == "dev"
37
+ Dynamic: license-file
38
+
39
+ # ehrextract
40
+
41
+ Structured feature extraction from clinical notes. Three steps:
42
+
43
+ 1. **Bring your notes** — CSV, JSONL, JSON, XLSX, plain text, or a pandas
44
+ DataFrame.
45
+ 2. **Pick a task** — a built-in task (`comorbidity`, `clinical_vars`, `full`)
46
+ or your own YAML file with your own fields and prompt.
47
+ 3. **Pick a model** — a fine-tuned LoRA adapter on a local base model, your
48
+ own local HuggingFace weights, or an API model (OpenAI-compatible or
49
+ Anthropic).
50
+
51
+ One command (or one function call) later you have a results table —
52
+ CSV, JSONL, JSON, XLSX, or Parquet — with one column per extracted field.
53
+
54
+ > **Important — read before use.**
55
+ > ehrextract is **research-grade software**. It is **NOT a medical device**,
56
+ > is **NOT FDA-cleared / Health Canada-approved**, and **MUST NOT** be used
57
+ > for clinical decision-making, patient triage, eligibility determination,
58
+ > re-identification, surveillance, or any setting where its outputs affect
59
+ > a person's access to care, insurance, employment, or legal status.
60
+ > Outputs may hallucinate; any research use requires per-row human review.
61
+ > The egress-warning system is informational, not a privacy compliance
62
+ > control. **Users are solely responsible for HIPAA / PHIPA / PIPEDA / GDPR
63
+ > / REB compliance.** See [`NOTICE`](https://github.com/shifosss/ehrextract/blob/main/NOTICE) for the
64
+ > full acceptable-use scope.
65
+
66
+ ## Install
67
+
68
+ Until the PyPI release, install from source (**current method**):
69
+
70
+ ```bash
71
+ git clone https://github.com/shifosss/ehrextract
72
+ pip install './ehrextract[hf]' # or [openai], [anthropic]
73
+ ```
74
+
75
+ Once published to PyPI:
76
+
77
+ ```bash
78
+ pip install ehrextract # core (~50 MB)
79
+ pip install 'ehrextract[hf]' # + torch + transformers + peft (~3 GB)
80
+ pip install 'ehrextract[openai]' # + openai SDK
81
+ pip install 'ehrextract[anthropic]' # + anthropic SDK
82
+ ```
83
+
84
+ ## 30-second example
85
+
86
+ ```bash
87
+ ehrextract \
88
+ --task comorbidity \
89
+ --model Qwen/Qwen3.5-27B --adapter /path/to/adapter \
90
+ --input notes.csv --output results.csv
91
+ ```
92
+
93
+ or, as a library:
94
+
95
+ ```python
96
+ from pathlib import Path
97
+ from ehrextract import extract
98
+
99
+ df = extract(
100
+ Path("notes.csv"),
101
+ "comorbidity",
102
+ model="Qwen/Qwen3.5-27B",
103
+ adapter="/path/to/adapter",
104
+ output="results.csv",
105
+ )
106
+ ```
107
+
108
+ The input needs a `note_text` column (configurable via `--text-column`); a
109
+ `note_id` column is added automatically when absent. The output has one
110
+ column per task field plus `parse_success`, `validation_errors`,
111
+ `raw_response`, `finish_reason`, and token counts.
112
+
113
+ ## Built-in tasks
114
+
115
+ | Task | Fields | What it extracts |
116
+ |---|---|---|
117
+ | `comorbidity` | 17 | Free-text diagnosis list + 16 Y/N comorbidity categories |
118
+ | `clinical_vars` | 4 | Feeding and neurologic variables (tube/oral feeding, aspiration risk, NI trajectory) |
119
+ | `full` | 20 | Joint task: the 16 comorbidity categories + the 4 clinical variables |
120
+
121
+ Built-in tasks ship inside the package; `--task <name>` works without any
122
+ extra files. Define your own task in YAML — see
123
+ [`schema-reference.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/schema-reference.md).
124
+
125
+ > **Note on the `full` task.** The research pipeline that produced the
126
+ > published evaluation numbers for the joint 20-field task used constrained
127
+ > JSON decoding to force the output shape. ehrextract v0.2.0 does **not**
128
+ > constrain decoding (planned as a future feature), so `full`-task outputs
129
+ > can diverge from the published numbers on hard notes — watch the
130
+ > `parse_success` and `validation_errors` columns.
131
+
132
+ ## Data handling
133
+
134
+ If your input may contain PHI, read [`data-handling.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/data-handling.md)
135
+ BEFORE running with any API provider. The package writes a data-egress
136
+ notice to stderr (once per process per destination) on API use; it never
137
+ blocks, and it does not (and cannot) guarantee compliance for you. The
138
+ local HuggingFace provider keeps all data on your machine.
139
+
140
+ ## Documentation
141
+
142
+ - [`quickstart.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/quickstart.md) — fine-tuned adapters, custom tasks, API providers
143
+ - [`schema-reference.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/schema-reference.md) — the task-file YAML reference
144
+ - [`data-handling.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/data-handling.md) — PHI, egress notice, BAA-eligible providers
145
+ - [`extending-providers.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/extending-providers.md) — plug in a custom provider
146
+
147
+ ## Authors and institutions
148
+
149
+ ehrextract was developed by:
150
+
151
+ - **Chen Zhang** (lead author)
152
+ - **Yibing Xia** (co-author)
153
+ - **Sanjay Mahant, MD** -- supervisor, The Hospital for Sick Children (SickKids)
154
+ - **Nathan Taback, PhD** -- supervisor, University of Toronto
155
+
156
+ at **The Hospital for Sick Children** (Toronto, Canada) and the
157
+ **University of Toronto** (Toronto, Canada). Please cite the project if
158
+ you use it in published work.
159
+
160
+ ## License
161
+
162
+ Licensed under the Apache License, Version 2.0. See [`LICENSE`](https://github.com/shifosss/ehrextract/blob/main/LICENSE)
163
+ for the full license text and [`NOTICE`](https://github.com/shifosss/ehrextract/blob/main/NOTICE) for
164
+ attribution, the no-endorsement clause, the clinical-use disclaimer, and the
165
+ acceptable-use restrictions that supplement (but do not override) the License.
@@ -0,0 +1,127 @@
1
+ # ehrextract
2
+
3
+ Structured feature extraction from clinical notes. Three steps:
4
+
5
+ 1. **Bring your notes** — CSV, JSONL, JSON, XLSX, plain text, or a pandas
6
+ DataFrame.
7
+ 2. **Pick a task** — a built-in task (`comorbidity`, `clinical_vars`, `full`)
8
+ or your own YAML file with your own fields and prompt.
9
+ 3. **Pick a model** — a fine-tuned LoRA adapter on a local base model, your
10
+ own local HuggingFace weights, or an API model (OpenAI-compatible or
11
+ Anthropic).
12
+
13
+ One command (or one function call) later you have a results table —
14
+ CSV, JSONL, JSON, XLSX, or Parquet — with one column per extracted field.
15
+
16
+ > **Important — read before use.**
17
+ > ehrextract is **research-grade software**. It is **NOT a medical device**,
18
+ > is **NOT FDA-cleared / Health Canada-approved**, and **MUST NOT** be used
19
+ > for clinical decision-making, patient triage, eligibility determination,
20
+ > re-identification, surveillance, or any setting where its outputs affect
21
+ > a person's access to care, insurance, employment, or legal status.
22
+ > Outputs may hallucinate; any research use requires per-row human review.
23
+ > The egress-warning system is informational, not a privacy compliance
24
+ > control. **Users are solely responsible for HIPAA / PHIPA / PIPEDA / GDPR
25
+ > / REB compliance.** See [`NOTICE`](https://github.com/shifosss/ehrextract/blob/main/NOTICE) for the
26
+ > full acceptable-use scope.
27
+
28
+ ## Install
29
+
30
+ Until the PyPI release, install from source (**current method**):
31
+
32
+ ```bash
33
+ git clone https://github.com/shifosss/ehrextract
34
+ pip install './ehrextract[hf]' # or [openai], [anthropic]
35
+ ```
36
+
37
+ Once published to PyPI:
38
+
39
+ ```bash
40
+ pip install ehrextract # core (~50 MB)
41
+ pip install 'ehrextract[hf]' # + torch + transformers + peft (~3 GB)
42
+ pip install 'ehrextract[openai]' # + openai SDK
43
+ pip install 'ehrextract[anthropic]' # + anthropic SDK
44
+ ```
45
+
46
+ ## 30-second example
47
+
48
+ ```bash
49
+ ehrextract \
50
+ --task comorbidity \
51
+ --model Qwen/Qwen3.5-27B --adapter /path/to/adapter \
52
+ --input notes.csv --output results.csv
53
+ ```
54
+
55
+ or, as a library:
56
+
57
+ ```python
58
+ from pathlib import Path
59
+ from ehrextract import extract
60
+
61
+ df = extract(
62
+ Path("notes.csv"),
63
+ "comorbidity",
64
+ model="Qwen/Qwen3.5-27B",
65
+ adapter="/path/to/adapter",
66
+ output="results.csv",
67
+ )
68
+ ```
69
+
70
+ The input needs a `note_text` column (configurable via `--text-column`); a
71
+ `note_id` column is added automatically when absent. The output has one
72
+ column per task field plus `parse_success`, `validation_errors`,
73
+ `raw_response`, `finish_reason`, and token counts.
74
+
75
+ ## Built-in tasks
76
+
77
+ | Task | Fields | What it extracts |
78
+ |---|---|---|
79
+ | `comorbidity` | 17 | Free-text diagnosis list + 16 Y/N comorbidity categories |
80
+ | `clinical_vars` | 4 | Feeding and neurologic variables (tube/oral feeding, aspiration risk, NI trajectory) |
81
+ | `full` | 20 | Joint task: the 16 comorbidity categories + the 4 clinical variables |
82
+
83
+ Built-in tasks ship inside the package; `--task <name>` works without any
84
+ extra files. Define your own task in YAML — see
85
+ [`schema-reference.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/schema-reference.md).
86
+
87
+ > **Note on the `full` task.** The research pipeline that produced the
88
+ > published evaluation numbers for the joint 20-field task used constrained
89
+ > JSON decoding to force the output shape. ehrextract v0.2.0 does **not**
90
+ > constrain decoding (planned as a future feature), so `full`-task outputs
91
+ > can diverge from the published numbers on hard notes — watch the
92
+ > `parse_success` and `validation_errors` columns.
93
+
94
+ ## Data handling
95
+
96
+ If your input may contain PHI, read [`data-handling.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/data-handling.md)
97
+ BEFORE running with any API provider. The package writes a data-egress
98
+ notice to stderr (once per process per destination) on API use; it never
99
+ blocks, and it does not (and cannot) guarantee compliance for you. The
100
+ local HuggingFace provider keeps all data on your machine.
101
+
102
+ ## Documentation
103
+
104
+ - [`quickstart.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/quickstart.md) — fine-tuned adapters, custom tasks, API providers
105
+ - [`schema-reference.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/schema-reference.md) — the task-file YAML reference
106
+ - [`data-handling.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/data-handling.md) — PHI, egress notice, BAA-eligible providers
107
+ - [`extending-providers.md`](https://github.com/shifosss/ehrextract/blob/main/docs/ehrextract/extending-providers.md) — plug in a custom provider
108
+
109
+ ## Authors and institutions
110
+
111
+ ehrextract was developed by:
112
+
113
+ - **Chen Zhang** (lead author)
114
+ - **Yibing Xia** (co-author)
115
+ - **Sanjay Mahant, MD** -- supervisor, The Hospital for Sick Children (SickKids)
116
+ - **Nathan Taback, PhD** -- supervisor, University of Toronto
117
+
118
+ at **The Hospital for Sick Children** (Toronto, Canada) and the
119
+ **University of Toronto** (Toronto, Canada). Please cite the project if
120
+ you use it in published work.
121
+
122
+ ## License
123
+
124
+ Licensed under the Apache License, Version 2.0. See [`LICENSE`](https://github.com/shifosss/ehrextract/blob/main/LICENSE)
125
+ for the full license text and [`NOTICE`](https://github.com/shifosss/ehrextract/blob/main/NOTICE) for
126
+ attribution, the no-endorsement clause, the clinical-use disclaimer, and the
127
+ acceptable-use restrictions that supplement (but do not override) the License.