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# deid-LONGFORMER-NemPII
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**HIPAA-compliant clinical de-identification that beats commercial solutions—at zero cost.**
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A fine-tuned Clinical-Longformer model for Protected Health Information (PHI) detection and replacement in clinical text, achieving **97.74% F1** on held-out test data.
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| Solution | F1 Score | Cost | Replacement Quality |
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|----------|----------|------|---------------------|
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| AWS Comprehend Medical | ~83-93% | $14.5K/1M notes | Basic placeholders |
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| John Snow Labs | 96-97% | Enterprise license | Basic placeholders |
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| **deid-LONGFORMER-NemPII** | **97.74%** | **Free
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Most tools just redact PHI with `[REDACTED]` or `***`, leaving text that's difficult to read and impossible to use for downstream NLP tasks. This model generates **realistic surrogate data** that preserves clinical meaning while protecting patient privacy.
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## Acknowledgments
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This project stands on the shoulders of excellent prior work:
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##
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This model
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###
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##
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The model recognizes that a DATE entity following "DOB:" should receive age-preserving treatment, not standard date shifting.
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Multiple references to the same person map to the same fake name:
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- "Dr. Sarah Elizabeth Johnson, MD" → "Dr. Maria Rodriguez, MD"
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- "Sarah E. Johnson" → "Maria Rodriguez"
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- "Dr. Johnson" → "Dr. Rodriguez"
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##
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City, state, and ZIP code replacements are coherent—you won't get "Phoenix, NY 33101".
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###
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Phone numbers, SSNs, and dates maintain their original format:
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- `(555) 123-4567` → `(555) 987-6543` (not `5559876543`)
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- `01/15/2024` → `03/22/2024` (not `2024-03-22`)
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- `["Jan", "uary", " ", "15"]` → `"January 15"` (single DATE entity)
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## Model Architecture
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```
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Base Model: yikuan8/Clinical-Longformer
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Parameters: 148M
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Max Length: 4,096 tokens
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Task: Token Classification (NER)
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Tagging: BILOU scheme
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Classes: 101 (25 PHI types × 4 BILOU tags + O)
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```
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### PHI Categories (25 types)
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@@ -92,128 +103,115 @@ EMAIL, STREET_ADDRESS, CITY, STATE, POSTCODE, COUNTRY,
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BIOMETRIC_IDENTIFIER, UNIQUE_ID, CUSTOMER_ID, EMPLOYEE_ID
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```
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##
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##
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###
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```python
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from
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DOB: 01/15/1957
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MRN: 123456789
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"""
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DOB: 03/22/1955
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MRN: 987654321
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```
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###
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```
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##
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```bash
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--val_file data/val.json \
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--output_dir checkpoints \
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--epochs 10 \
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--batch_size 4 \
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--learning_rate 2e-5
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```
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{"text": "Patient John Smith...", "entities": [{"start": 8, "end": 18, "label": "NAME"}]}
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```
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| Recall | 97.86% |
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##
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| PHONE_NUMBER | 99.1% | 312 |
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| SSN | 98.7% | 89 |
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| STREET_ADDRESS | 96.4% | 445 |
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| ... | ... | ... |
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## Live Demo
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Try it at: **https://deid.riggsmedai.com**
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## License
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- **Model weights**: Apache 2.0
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- **Code**: Apache 2.0
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- **Training data**: CC BY 4.0 (NVIDIA Nemotron-PII)
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## Citation
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If you use this model in your research, please cite:
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```bibtex
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@software{riggs2024deid,
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author = {Riggs, Gary},
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title = {deid-LONGFORMER-NemPII: Clinical De-identification with Realistic Surrogates},
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year = {2024},
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url = {https://
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}
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```
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```bibtex
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@article{li2023comparative,
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Medical Director, Metro Physician Group
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Master of Science in Data Science candidate, Northwestern University
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##
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Contributions welcome! See [CONTRIBUTING.md](CONTRIBUTING.md) for guidelines.
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---
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---
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language:
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- en
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license: apache-2.0
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library_name: transformers
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tags:
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- longformer
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- medical
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- clinical
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- ner
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- de-identification
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- phi
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- hipaa
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- healthcare
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- token-classification
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datasets:
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- nvidia/Nemotron-PII
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base_model: yikuan8/Clinical-Longformer
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metrics:
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- f1
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- precision
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- recall
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pipeline_tag: token-classification
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widget:
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- text: "Patient John Smith, DOB 01/15/1957, MRN 123456789, presented with chest pain."
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example_title: "Clinical Note"
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- text: "Contact Dr. Sarah Johnson at (405) 555-1234 or sarah.johnson@hospital.org"
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example_title: "Contact Info"
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---
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# deid-LONGFORMER-NemPII
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**HIPAA-compliant clinical de-identification that beats commercial solutions—at zero cost.**
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A fine-tuned [Clinical-Longformer](https://huggingface.co/yikuan8/Clinical-Longformer) model for Protected Health Information (PHI) detection and replacement in clinical text, achieving **97.74% F1** on held-out test data.
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## Model Description
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This model identifies 25 types of Protected Health Information (PHI) in clinical text using BILOU tagging (101 classes total). Unlike commercial solutions that simply redact PHI with `[REDACTED]`, the accompanying replacement logic generates **realistic surrogate data** that preserves clinical meaning.
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### Performance Comparison
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| Solution | F1 Score | Cost | Replacement Quality |
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|----------|----------|------|---------------------|
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| AWS Comprehend Medical | ~83-93% | $14.5K/1M notes | Basic placeholders |
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| John Snow Labs | 96-97% | Enterprise license | Basic placeholders |
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| **deid-LONGFORMER-NemPII** | **97.74%** | **Free** | **Realistic surrogates** |
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## Acknowledgments & Inspiration
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This model builds directly on excellent prior work:
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### 🙏 obi/deid_bert_i2b2 — The Inspiration
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This project was directly inspired by [**obi/deid_bert_i2b2**](https://huggingface.co/obi/deid_bert_i2b2) from the Open Biomedical Informatics team (Prajwal Kailas, Max Homilius, Shinichi Goto). Their pioneering work on ClinicalBERT-based de-identification using the I2B2 2014 dataset demonstrated the viability of transformer-based approaches for PHI detection. The [robust-deid](https://github.com/obi-ml-public/ehr_deidentification) framework they developed provided invaluable reference for architecture decisions, BILOU tagging schemes, and evaluation methodology.
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### 🏥 yikuan8/Clinical-Longformer — The Base Model
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Built on [**yikuan8/Clinical-Longformer**](https://huggingface.co/yikuan8/Clinical-Longformer) by Li, Yikuan et al. This clinical knowledge-enriched Longformer was pre-trained on MIMIC-III clinical notes and supports sequences up to 4,096 tokens—critical for processing real-world clinical documents that often exceed BERT's 512-token limit.
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### 📊 NVIDIA Nemotron-PII — The Training Data
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Trained on the healthcare subset of [**nvidia/Nemotron-PII**](https://huggingface.co/datasets/nvidia/Nemotron-PII) (3,630 records, CC BY 4.0). This synthetic dataset provides diverse PHI patterns without exposing real patient data.
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## Intended Uses
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- **Clinical research**: De-identify notes for IRB-compliant research datasets
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- **Healthcare NLP**: Prepare training data for downstream clinical NLP tasks
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- **Data sharing**: Enable safe sharing of clinical text between institutions
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- **Quality improvement**: Analyze clinical documentation without PHI exposure
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## Key Features
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The replacement logic (in the [GitHub repo](https://github.com/Hrygt/deid-longformer-nempii)) provides:
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- **Age-preserving DOB**: Fake DOBs keep patient age within ±2 years
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- **Name consistency**: "Dr. Sarah Johnson" and "Sarah J." map to the same fake name
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- **Temporal consistency**: All dates shift by the same offset (preserves intervals)
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- **Geographic consistency**: City/state/ZIP combinations are coherent
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- **Format preservation**: Phone numbers, SSNs, dates keep original format
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- **Medical term protection**: Whitelist prevents "Anion Gap" → fake name
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## Training Details
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### Architecture
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| Parameter | Value |
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|-----------|-------|
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| Base Model | yikuan8/Clinical-Longformer |
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| Parameters | 148M |
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| Max Length | 4,096 tokens |
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| Task | Token Classification |
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| Tagging | BILOU scheme |
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| Classes | 101 (25 PHI types × 4 tags + O) |
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### PHI Categories (25 types)
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BIOMETRIC_IDENTIFIER, UNIQUE_ID, CUSTOMER_ID, EMPLOYEE_ID
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```
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### Training Procedure
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- **Dataset**: NVIDIA Nemotron-PII healthcare subset (3,630 records)
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- **Split**: 80% train / 20% test
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- **Epochs**: 10
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- **Batch size**: 4
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- **Learning rate**: 2e-5
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- **Optimizer**: AdamW
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- **Hardware**: NVIDIA T4 GPU
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## Evaluation Results
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| Metric | Score |
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|--------|-------|
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| **F1** | **97.74%** |
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| Precision | 97.62% |
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| Recall | 97.86% |
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## Usage
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### With Transformers
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```python
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from transformers import AutoTokenizer, AutoModelForTokenClassification
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import torch
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tokenizer = AutoTokenizer.from_pretrained("riggsmed/deid-LONGFORMER-NemPII")
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model = AutoModelForTokenClassification.from_pretrained("riggsmed/deid-LONGFORMER-NemPII")
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text = "Patient John Smith, DOB 01/15/1957, presented with chest pain."
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inputs = tokenizer(text, return_tensors="pt", truncation=True, max_length=4096)
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with torch.no_grad():
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outputs = model(**inputs)
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predictions = torch.argmax(outputs.logits, dim=-1)
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# Decode predictions to entity labels
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tokens = tokenizer.convert_ids_to_tokens(inputs["input_ids"][0])
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labels = [model.config.id2label[p.item()] for p in predictions[0]]
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for token, label in zip(tokens, labels):
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if label != "O":
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print(f"{token}: {label}")
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```
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### With Pipeline
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```python
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from transformers import pipeline
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pipe = pipeline("token-classification",
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model="riggsmed/deid-LONGFORMER-NemPII",
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aggregation_strategy="simple")
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text = "Contact Dr. Sarah Johnson at (405) 555-1234"
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entities = pipe(text)
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for ent in entities:
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print(f"{ent['word']}: {ent['entity_group']} ({ent['score']:.2f})")
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```
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### Full De-identification (with surrogates)
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For realistic surrogate replacement, use the full system from GitHub:
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```bash
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git clone https://github.com/Hrygt/deid-longformer-nempii.git
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cd deid-longformer-nempii
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pip install -r requirements.txt
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```
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```python
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from deid import deidentify_text
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result = deidentify_text("Patient John Smith, DOB 01/15/1957")
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print(result["deidentified_text"])
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# Output: "Patient Robert Johnson, DOB 03/22/1955"
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```
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## Limitations
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- **English only**: Trained exclusively on English clinical text
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- **US-centric**: PHI patterns (SSN format, US addresses) are US-focused
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- **Synthetic training data**: May miss edge cases in real clinical notes
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- **Not a substitute for expert review**: For high-stakes applications, human review is recommended
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## Ethical Considerations
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- This model is intended to **protect patient privacy**, not circumvent it
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- De-identified data should still be handled according to institutional policies
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- The model may have biases from training data that could affect certain demographic groups
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- Always validate de-identification quality on your specific data before production use
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## Live Demo
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Try it at: **https://deid.riggsmedai.com**
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## Citation
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```bibtex
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@software{riggs2024deid,
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author = {Riggs, Gary},
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title = {deid-LONGFORMER-NemPII: Clinical De-identification with Realistic Surrogates},
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year = {2024},
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url = {https://huggingface.co/riggsmed/deid-LONGFORMER-NemPII}
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}
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```
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Please also cite the foundational work:
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```bibtex
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@article{li2023comparative,
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Medical Director, Metro Physician Group
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Master of Science in Data Science candidate, Northwestern University
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## Model Card Contact
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For questions or issues: [GitHub Issues](https://github.com/Hrygt/deid-longformer-nempii/issues)
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