MedDecXtract: A Clinician-Support System for Extracting, Visualizing, and Annotating Medical Decisions in Clinical Narratives

Mohamed Elgaar, Hadi Amiri, Mitra Mohtarami, Leo Anthony Celi


Abstract
Clinical notes contain crucial information about medical decisions, including diagnosis, treatment choices, and follow-up plans. However, these decisions are embedded within unstructured text, making it challenging to systematically analyze decision-making patterns or support clinical workflows. We present MedDecXtract, an open-source interactive system that automatically extracts and visualizes medical decisions from clinical text. The system combines a RoBERTa-based model for identifying ten categories of medical decisions (e.g., diagnosis, treatment, follow-up) according to the DICTUM framework, with an intuitive interface for exploration, visualization, and annotation. The system enables various applications including clinical decision support, research on decision patterns, and creation of training data for improved medical language models. The system and its source code can be accessed at https://mohdelgaar-clinical-decisions.hf.space. A video demo is available at https://youtu.be/19j6-XtIE_s.
Anthology ID:
2025.acl-demo.46
Volume:
Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 3: System Demonstrations)
Month:
July
Year:
2025
Address:
Vienna, Austria
Editors:
Pushkar Mishra, Smaranda Muresan, Tao Yu
Venue:
ACL
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Publisher:
Association for Computational Linguistics
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Pages:
481–489
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URL:
https://preview.aclanthology.org/ingestion-acl-25/2025.acl-demo.46/
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Cite (ACL):
Mohamed Elgaar, Hadi Amiri, Mitra Mohtarami, and Leo Anthony Celi. 2025. MedDecXtract: A Clinician-Support System for Extracting, Visualizing, and Annotating Medical Decisions in Clinical Narratives. In Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 3: System Demonstrations), pages 481–489, Vienna, Austria. Association for Computational Linguistics.
Cite (Informal):
MedDecXtract: A Clinician-Support System for Extracting, Visualizing, and Annotating Medical Decisions in Clinical Narratives (Elgaar et al., ACL 2025)
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https://preview.aclanthology.org/ingestion-acl-25/2025.acl-demo.46.pdf
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 2025.acl-demo.46.copyright_agreement.pdf