Combining Token Classification With Large Language Model Revision for Age-Friendly 4M Entity Recognition From Nursing Home Text Messages: Development and Evaluation Study
This study presents and evaluates a multi-stage pipeline that combines a fine-tuned Bio-ClinicalBERT token classifier with locally deployed open-source large language models for revision, demonstrating that this hybrid approach significantly improves the accuracy and efficiency of extracting structured Age-Friendly 4M (What Matters, Medication, Mentation, and Mobility) information from informal nursing home text messages compared to single-stage models.