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Evaluating Large Language Models for Extracting Clinical Recommendations from Practice Guidelines: A Preliminary
Rose Allington1, Nasim Mahmoodi1, Omid Pournik1
1Department of Electronic, Electrical and Systems Engineering, School of Engineering, University of Birmingham, Birmingham.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Large Language Models (LLMs) show promise for extracting clinical recommendations from Clinical Practice Guidelines (CPGs). DeepSeek and Grok models achieved over 90% accuracy in this knowledge extraction task.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Healthcare
- Clinical Knowledge Management
Background:
- Clinical Practice Guidelines (CPGs) are essential for evidence-based healthcare.
- Accessing and utilizing CPG content can be challenging for clinicians.
- Large Language Models (LLMs) offer potential for automating information extraction from complex documents.
Purpose of the Study:
- To evaluate the effectiveness of four different LLMs in extracting clinical recommendations from CPGs.
- To assess the ability of LLMs to categorize extracted recommendations.
- To compare LLM performance with and without an example set of extracted recommendations.
Main Methods:
- Four distinct LLMs were tested for their ability to extract and categorize recommendations from CPGs.
- Two testing conditions were employed: one with an example set and one without.
- Accuracy and completeness of extracted recommendations were key evaluation metrics.
Main Results:
- DeepSeek and Grok demonstrated superior performance among the tested LLMs.
- These models achieved over 90% accuracy in extracting clinical recommendations.
- The inclusion of an example set influenced the extraction and categorization process.
Conclusions:
- LLMs show significant potential for automating knowledge extraction from clinical guidelines.
- Preliminary findings highlight both the capabilities and limitations of current LLMs in this domain.
- Further research is needed to optimize LLM application for clinical knowledge management.