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https://github.com/aphp/eds-pseudo

EDS-Pseudo is a hybrid model for detecting personally identifying entities in clinical reports
https://github.com/aphp/eds-pseudo

edsnlp nlp pseudonymisation

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EDS-Pseudo is a hybrid model for detecting personally identifying entities in clinical reports

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[Tests]()
[Documentation](https://aphp.github.io/eds-pseudo/latest/)
[Codecov](https://codecov.io/gh/aphp/eds-pseudo)
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[Demo](https://eds-pseudo-public.streamlit.app/)

# EDS-Pseudo

The EDS-Pseudo project aims at detecting identifying entities in clinical documents, and was primarily tested
on clinical reports at AP-HP's Clinical Data Warehouse (EDS).

The model is built on top of [edsnlp](https://github.com/aphp/edsnlp), and consists in a
hybrid model (rule-based + deep learning) for which we provide
rules ([`eds-pseudo/pipes`](https://github.com/aphp/eds-pseudo/tree/main/eds_pseudo/pipes))
and a training recipe [`train.py`](https://github.com/aphp/eds-pseudo/blob/main/scripts/train.py).

We also provide some fictitious
templates ([`templates.txt`](https://github.com/aphp/eds-pseudo/blob/main/data/templates.txt)) and a script to
generate a synthetic
dataset [`generate_dataset.py`](https://github.com/aphp/eds-pseudo/blob/main/scripts/generate_dataset.py).

The entities that are detected are listed below.

| Label | Description |
|------------------|---------------------------------------------------------------|
| `ADRESSE` | Street address, eg `33 boulevard de Picpus` |
| `DATE` | Any absolute date other than a birthdate |
| `DATE_NAISSANCE` | Birthdate |
| `HOPITAL` | Hospital name, eg `Hôpital Rothschild` |
| `IPP` | Internal AP-HP identifier for patients, displayed as a number |
| `MAIL` | Email address |
| `NDA` | Internal AP-HP identifier for visits, displayed as a number |
| `NOM` | Any last name (patients, doctors, third parties) |
| `PRENOM` | Any first name (patients, doctors, etc) |
| `SECU` | Social security number |
| `TEL` | Any phone number |
| `VILLE` | Any city |
| `ZIP` | Any zip code |

## Downloading the public pre-trained model

The public pretrained model is available on the HuggingFace model hub at
[AP-HP/eds-pseudo-public](https://hf.co/AP-HP/eds-pseudo-public) and was trained on synthetic data
(see [`generate_dataset.py`](https://github.com/aphp/eds-pseudo/blob/main/scripts/generate_dataset.py)). You can also
test it directly on the **[demo](https://eds-pseudo-public.streamlit.app/)**.

1. Install the latest version of edsnlp

```shell
pip install "edsnlp[ml]" -U
```

2. Get access to the model at [AP-HP/eds-pseudo-public](https://hf.co/AP-HP/eds-pseudo-public)
3. Create and copy a huggingface token https://huggingface.co/settings/tokens?new_token=true
4. Register the token (only once) on your machine

```python
import huggingface_hub

huggingface_hub.login(token=YOUR_TOKEN, new_session=False, add_to_git_credential=True)
```

5. Load the model

```python
import edsnlp

nlp = edsnlp.load("AP-HP/eds-pseudo-public", auto_update=True)
doc = nlp(
"En 2015, M. Charles-François-Bienvenu "
"Myriel était évêque de Digne. C’était un vieillard "
"d’environ soixante-quinze ans ; il occupait le "
"siège de Digne depuis 2006."
)

for ent in doc.ents:
print(ent, ent.label_, str(ent._.date))
```

To apply the model on many documents using one or more GPUs, refer to the documentation
of [edsnlp](https://aphp.github.io/eds-pseudo/main/inference).

## Installation to reproduce

If you'd like to reproduce eds-pseudo's training or contribute to its development, you should first clone it:

```shell
git clone https://github.com/aphp/eds-pseudo.git
cd eds-pseudo
```

And install the dependencies. We recommend pinning the library version in your projects, or use a strict package manager
like [Poetry](https://python-poetry.org/).

```shell
poetry install
```

## How to use without machine learning

```python
import edsnlp

nlp = edsnlp.blank("eds")

# Some text cleaning
nlp.add_pipe("eds.normalizer")

# Various simple rules
nlp.add_pipe(
"eds_pseudo.simple_rules",
config={"pattern_keys": ["TEL", "MAIL", "SECU", "PERSON"]},
)

# Address detection
nlp.add_pipe("eds_pseudo.addresses")

# Date detection
nlp.add_pipe("eds_pseudo.dates")

# Contextual rules (requires a dict of info about the patient)
nlp.add_pipe("eds_pseudo.context")

# Apply it to a text
doc = nlp(
"En 2015, M. Charles-François-Bienvenu "
"Myriel était évêque de Digne. C’était un vieillard "
"d’environ soixante-quinze ans ; il occupait le "
"siège de Digne depuis 2006."
)

for ent in doc.ents:
print(ent, ent.label_)

# 2015 DATE
# Charles-François-Bienvenu NOM
# Myriel PRENOM
# 2006 DATE
```

## How to train

Before training a model, you should update the
[configs/config.cfg](https://github.com/aphp/eds-pseudo/blob/main/configs/config.cfg) and
[pyproject.toml](https://github.com/aphp/eds-pseudo/blob/main/pyproject.toml) files to
fit your needs.

Put your data in the `data/dataset` folder (or edit the paths `configs/config.cfg` file to point
to `data/gen_dataset/train.jsonl`).

Then, run the training script

```shell
python scripts/train.py --config configs/config.cfg --seed 43
```

This will train a model and save it in `artifacts/model-last`. You can evaluate it on the test set (defaults
to `data/dataset/test.jsonl`) with:

```shell
python scripts/evaluate.py --config configs/config.cfg
```

To package it, run:

```shell
python scripts/package.py
```

This will create a `dist/eds-pseudo-aphp-***.whl` file that you can install with `pip install dist/eds-pseudo-aphp-***`.

You can use it in your code:

```python
import edsnlp

# Either from the model path directly
nlp = edsnlp.load("artifacts/model-last")

# Or from the wheel file
import eds_pseudo_aphp

nlp = eds_pseudo_aphp.load()
```

## Documentation

Visit the [documentation](https://aphp.github.io/eds-pseudo/) for more information!

## Publication

Please find our publication at the following link: https://doi.org/mkfv.

If you use EDS-Pseudo, please cite us as below:

```
@article{eds_pseudo,
title={Development and validation of a natural language processing algorithm to pseudonymize documents in the context of a clinical data warehouse},
author={Tannier, Xavier and Wajsb{\"u}rt, Perceval and Calliger, Alice and Dura, Basile and Mouchet, Alexandre and Hilka, Martin and Bey, Romain},
journal={Methods of Information in Medicine},
year={2024},
publisher={Georg Thieme Verlag KG}
}
```

## Acknowledgement

We would like to thank [Assistance Publique – Hôpitaux de Paris](https://www.aphp.fr/)
and [AP-HP Foundation](https://fondationrechercheaphp.fr/) for funding this project.