Understanding causal narratives communicated in clinical notes can help make strides towards personalized healthcare. Extracted causal information from clinical notes can be combined with structured EHR data such as patients’ demographics, diagnoses, and medications. This will enhance healthcare providers’ ability to identify aspects of a patient’s story communicated in the clinical notes and help make more informed decisions. In this work, we propose annotation guidelines, develop an annotated corpus and provide baseline scores to identify types and direction of causal relations between a pair of biomedical concepts in clinical notes; communicated implicitly or explicitly, identified either in a single sentence or across multiple sentences. We annotate a total of 2714 de-identified examples sampled from the 2018 n2c2 shared task dataset and train four different language model based architectures. Annotation based on our guidelines achieved a high inter-annotator agreement i.e. Fleiss’ kappa (𝜅) score of 0.72, and our model for identification of causal relations achieved a macro F1 score of 0.56 on the test data. The high inter-annotator agreement for clinical text shows the quality of our annotation guidelines while the provided baseline F1 score sets the direction for future research towards understanding narratives in clinical texts.

During the COVID-19 pandemic, the spread of misinformation on online social media has grown exponentially. Unverified bogus claims on these platforms regularly mislead people, leading them to believe in half-baked truths. The current vogue is to employ manual fact-checkers to verify claims to combat this avalanche of misinformation. However, establishing such claims’ veracity is becoming increasingly challenging, partly due to the plethora of information available, which is difficult to process manually. Thus, it becomes imperative to verify claims automatically without human interventions. To cope up with this issue, we propose an automated claim verification solution encompassing two steps – document retrieval and veracity prediction. For the retrieval module, we employ a hybrid search-based system with BM25 as a base retriever and experiment with recent state-of-the-art transformer-based models for re-ranking. Furthermore, we use a BART-based textual entailment architecture to authenticate the retrieved documents in the later step. We report experimental findings, demonstrating that our retrieval module outperforms the best baseline system by 10.32 NDCG@100 points. We escort a demonstration to assess the efficacy and impact of our suggested solution. As a byproduct of this study, we present an open-source, easily deployable, and user-friendly Python API that the community can adopt.