Thunderbolts at #SMM4H-HeaRD 2026: Detection of Insomnia in Clinical Notes using Transformers
Summary
The SuSh system, developed for Subtask 1 of the MultiClinAI shared task at the 11th SMM4H and HeaRD Workshop (ACL 2026), addresses multilingual clinical named entity recognition (NER) across seven languages. This system employs a fully zero-shot approach utilizing GLiNER-biomed-large-v1.0, a span-based NER model pre-trained on biomedical text, eliminating the need for task-specific fine-tuning or labeled data. To manage long clinical documents, it incorporates a character-level sliding window strategy. A post-processing pipeline further refines results through F1-max sweep for threshold optimization, entity-specific gazetteer lookup from DisTEMIST and SympTEMIST, span boundary correction, and negation filtering. The system achieved a Strict F1 of 0.5175, Strict Precision of 0.5536, Strict Recall of 0.4859, and CHR F1 of 0.6130 on the English disease subtask, demonstrating the competitiveness of domain-adapted zero-shot biomedical NER models as baselines.
Key takeaway
For NLP engineers developing clinical NER systems, you should consider zero-shot approaches with domain-adapted models like GLiNER-biomed-large-v1.0. This strategy can establish competitive baselines for multilingual tasks, significantly reducing the need for extensive labeled training data. Implement character-level sliding windows and a post-processing pipeline including F1-max optimization and gazetteer integration to maximize performance on long clinical notes.
Key insights
Domain-adapted zero-shot biomedical NER models offer competitive baselines for multilingual clinical entity recognition.
Principles
- Zero-shot NER can be competitive.
- Domain adaptation is crucial for performance.
- Post-processing enhances raw model output.
Method
The SuSh system uses GLiNER-biomed-large-v1.0 with a character-level sliding window, followed by F1-max sweep, gazetteer lookup (DisTEMIST, SympTEMIST), span boundary correction, and negation filtering.
In practice
- Use GLiNER-biomed-large-v1.0 for clinical NER.
- Implement sliding windows for long texts.
- Integrate gazetteers for entity refinement.
Topics
- Clinical Named Entity Recognition
- Zero-shot Learning
- Transformers
- GLiNER-biomed-large-v1.0
- Multilingual NLP
- Biomedical NLP
Best for: Research Scientist, AI Scientist, Machine Learning Engineer, NLP Engineer
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Editorial summary, takeaway, and curation by AIssential. Original article published by Paper Index on ACL Anthology.