The Moonstone system is an open-source NLP system designed for clinical NLP tasks that require nuanced linguistic processing and inferencing capabilities. The system achieved excellent results in the challenging task of extracting SDOH variables from VA clinical notes. We are currently applying the rules developed on VA text to non-VA notes at three locations in order to determine the extent to which the system is portable between sites. Although developed with the social risk factor identification task in mind, Moonstone provides a powerful tool to address a range of clinical NLP tasks, especially those tasks that require nuanced linguistic processing in conjunction with inferencing capabilities.

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