Peer-Reviewed Publication
JMIR Med Inform2026;14e89957.October 15, 2026Journal Article

Optimizing Clinical Temporal Relation Extraction With Large Language Models: Comparative Analysis.

Jianping He1, Zenan Sun1, Laila Rasmy1, Haifang Li2, Jianfu Li2, Evan Yu1, Degui Zhi1, Cui Tao2
1McWilliams School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, United States.
2Department of Artificial Intelligence and Informatics, Mayo Clinic in Florida, 4500 San Pablo Rd S, Jacksonville, FL, 32224, United States, 1 904 956 3256.

Abstract

BACKGROUND: Clinical temporal relation extraction (CTRE) is essential for reconstructing patient timelines from unstructured electronic health records (EHRs). However, the linguistic complexity of clinical notes and the high cost of expert annotation impede the development of large-scale training corpora. While large language models (LLMs) have transformed general natural language processing, thei…

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