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Evaluating Large Language Models for Automated Data Cleaning and Feature Engineering in Clinical Datasets.

Shimul A Babli1, Pulkit Gairola2,3, Chukwuemeka E Ogbu4

  • 1Internal Medicine, Islami Bank Medical College and Hospital, Rajshahi, BGD.

Cureus
|June 10, 2026
PubMed
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Large language models (LLMs) effectively automate clinical data preprocessing, outperforming traditional methods for data cleaning and feature engineering in electronic health records (EHRs). Domain expert oversight is crucial for ensuring data integrity and clinical plausibility.

Area of Science:

  • Clinical Informatics
  • Biomedical Data Science
  • Artificial Intelligence in Healthcare

Background:

  • Electronic health records (EHRs) present significant data quality challenges (missing values, outliers, inconsistencies) for clinical research and machine learning.
  • Traditional data cleaning pipelines require extensive manual effort and domain expertise.
  • Large language models (LLMs) show promise for automating complex tasks but their application in structured clinical data preprocessing is underexplored.

Purpose of the Study:

  • To evaluate the efficacy of LLMs in automating structured data cleaning and feature engineering for clinical datasets.
  • To compare LLM performance against traditional rule-based pipelines and assess downstream predictive task performance.

Main Methods:

  • Three LLMs (GPT-4, Claude 3.5 Sonnet, Gemini 1.5 Pro) were assessed on five data cleaning and two feature engineering tasks.
Keywords:
clinical data cleaningelectronic health records (ehrs)feature engineeringlarge language models (llms)machine learning in healthcare

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  • Publicly available clinical datasets (MIMIC-IV, eICU, NHANES) were utilized.
  • LLM-generated scripts were benchmarked against a rule-based pipeline; downstream performance was evaluated using XGBoost and logistic regression for in-hospital mortality prediction (AUROC, F1 score).
  • Main Results:

    • Claude 3.5 Sonnet achieved the highest data cleaning F1 score (0.90), surpassing GPT-4 (0.89), Gemini 1.5 Pro (0.85), and the rule-based baseline (0.77).
    • Data preprocessed by Claude 3.5 Sonnet yielded the best XGBoost AUROC (0.851) for mortality prediction on MIMIC-IV, outperforming other LLMs, rule-based cleaning, and no cleaning.
    • LLM-engineered features improved AUROC by 0.015-0.025 over manually constructed features.

    Conclusions:

    • LLMs offer substantial automation for clinical data cleaning and feature engineering, achieving performance on par with or better than manual methods.
    • Despite high performance, human expert oversight is essential to validate clinical relevance and prevent undetected data errors.