Towards understanding the disease landscape of clinical trials in Germany: Ontology and embedding-based pipelines versus Large Language Models for ICD-10 Harmonization
This study demonstrates that while a deterministic ontology and embedding-based pipeline can partially harmonize heterogeneous clinical trial condition data in Germany to ICD-10 standards, Large Language Models (specifically GPT-4o) significantly outperform it by achieving near-perfect agreement with expert human coding, thereby offering a superior solution for cross-registry disease landscape analysis.