Building Secure AI Workflows for Healthcare: Private Clinical Data Extraction & Reliability

Healthcare organizations are under enormous pressure to use AI to improve productivity and decision-making, but not at the expense of privacy, accuracy, or trust.

Clinical data is deeply sensitive. Physician notes are nuanced. Patient records are fragmented. And generic, prompt-based AI systems are often too opaque, too risky, or too inaccurate for real clinical workflows.

GLiNER makes it possible for healthcare teams to build a secure, private, and reliable AI workflow for structuring clinical text without sending protected health information (PHI) outside their environment.

The Core Problem: Clinical Data Is Valuable, Sensitive, and Unstructured

Most clinical insight lives in free-text documents such as:

  • Physician progress notes

  • Intake summaries

  • Discharge notes

  • Referral letters

  • Patient medical records

  • Insurance claims

These documents contain critical information like diagnoses, symptoms, medications, procedures, and follow-up instructions. However, they are not structured in a way AI can reliably use and healthcare teams face competing requirements:

  1. Privacy: PII and PHI must remain protected and compliant with HIPAA and internal policies

  2. Accuracy: Clinical data extraction must be precise and deterministic

  3. Usability: Structured outputs must integrate cleanly into internal systems

  4. Cost: Long clinical notes and re-processing historical records becomes prohibitively expensive

Many AI approaches struggle to meet all of these requirements, often forcing tradeoffs between accuracy, speed, usability, and cost.

Why LLM-First Approaches Fall Short in Healthcare

Large language models are powerful, but in healthcare environments they introduce real challenges:

  • Data handling risk: Sending notes to external APIs may violate privacy or compliance requirements

  • Non-deterministic output: The same input can yield different results, unacceptable for clinical workflows

  • Over-extraction: LLMs often infer or hallucinate beyond what’s explicitly written

  • Unexplainability: It’s difficult to explain why a specific piece of information was extracted

For healthcare operations, reliability and control matter more than open-ended generation.

How GLiNER models Enable Accurate and Secure AI in Healthcare

GLiNER is a lightweight encoder model designed for structured extraction, not free-form generation. Key characteristics that make it suitable for healthcare use cases:

  • Runs entirely in private environments (on-prem or private cloud)

  • PII redaction to support safe storage, sharing, and analytics

  • Schema-based extraction ensures deterministic, explainable outputs

  • Efficient CPU inference supports batch ingestion and real-time workflows with 50-100ms inference time

  • Zero-shot extraction with optional fine-tuning enables accurate handling of niche, rare, and organization-specific medical terminology

Example: Structuring Physician Notes + Patient Medical Records

Input Sources
  • Physician progress notes

  • Patient longitudinal medical records

Example input (simplified):

“Patient reports worsening shortness of breath. History of asthma. Prescribed albuterol inhaler. Follow up in two weeks.”

Clinical Extraction Schema
  • condition

  • symptom

  • medication

  • dosage

  • procedure

  • follow_up_instruction

What Gets Extracted
{ 
 "condition": "asthma", 
 "symptom": "shortness of breath", 
 "medication": "albuterol", 
 "follow_up_instruction": "two weeks" 
}

The output doesn’t include speculation and doesn’t infer an incorrect diagnosis. Each extracted entity includes a confidence score, enabling threshold-based decisions and auditable workflows.

Secure AI That Fits Healthcare Requirements

Healthcare organizations don’t need AI that tries to do everything. They need AI that does that delivers predictable accuracy, preserves patient privacy, and scales economically. With GLiNER, teams can increase productivity without compromising privacy or accuracy.

Learn more about GLiNER’s capabilities