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Institution-Specific LLM Prompting Recovers PHI That De-identification Systems and Their Gold Standards Both Miss

Source
arxiv.org
Author
Daniel Palacios, Matthew Brady Neeley, Angel Adetomike Otto, Shalini Dhamodharan, John P. Woodhouse, Chi-fan Lin, Mark Zobeck, Zhandong Liu, Hyun-Hwan Jeong
Date
Why it matters

Purpose-built de-identification tools and the gold standards used to grade them both miss locally-defined PHI — hospital abbreviations, building names, internal codes. Adding institution-specific to the prompt recovers those spans and gives you a precision/recall dial.

Terms in this piece · Glossary
  • context window — The maximum amount of text a model can consider at once — its working memory for the current conversation or task.
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