LangExtract is a from developers at Google that makes it straightforward to show messy, unstructured textual content into clear, structured knowledge by leveraging LLMs. Customers can present a number of few-shot examples together with a customized schema and get outcomes based mostly on that. It really works each with proprietary in addition to native LLMs (through Ollama).
A major quantity of knowledge in healthcare is unstructured, making it a really perfect space the place a software like this may be useful. Medical notes are lengthy and filled with abbreviations and inconsistencies. Vital particulars similar to drug names, dosages, and particularly adversarial drug reactions (ADRs) get buried within the textual content. Subsequently, for this text, I wished to see if LangExtract may deal with adversarial drug response (ADR) detection in scientific notes. Extra importantly, is it efficient? Let’s discover out on this article. Observe that whereas LangExtract is an open-source undertaking from builders at Google, it isn’t an formally supported Google product.
Only a fast notice: I’m solely exhibiting how LanExtract works. I’m not a health care provider, and this isn’t medical recommendation.
▶️ Here’s a detailed Kaggle notebook to observe alongside.
Why ADR Extraction Issues
An Hostile Drug Response (ADR) is a dangerous, unintended end result brought on by taking a medicine. These can vary from delicate negative effects like nausea or dizziness to extreme outcomes that will require medical consideration.
Detecting them shortly is crucial for affected person security and pharmacovigilance. The problem is that in scientific notes, ADRs are buried alongside previous situations, lab outcomes, and different context. Consequently, detecting them is hard. Utilizing LLMs to detect ADRs is an ongoing space of analysis. Some recent works have proven that LLMs are good at elevating pink flags however not dependable. So, ADR extraction is an effective stress check for LangExtract, because the objective right here is to see if this library can spot the adversarial reactions amongst different entities in scientific notes like drugs, dosages, severity, and so on.
How LangExtract Works
Earlier than we bounce into utilization, let’s break down LangExtract’s workflow. It’s a easy three-step course of:
- Outline your extraction process by writing a transparent immediate that specifies precisely what you need to extract.
- Present a number of high-quality examples to information the mannequin in direction of the format and stage of element you anticipate.
- Submit your enter textual content, select the mannequin, and let LangExtract course of it. Customers can then evaluation the outcomes, visualize them, or cross them straight into their downstream pipeline.
The official GitHub repository of the software has detailed examples spanning a number of domains, from entity extraction in Shakespeare’s Romeo & Juliet to treatment identification in scientific notes and structuring radiology experiences. Do examine them out.
Set up
First we have to set up the LangExtract
library. It’s all the time a good suggestion to do that inside a virtual environment to maintain your undertaking dependencies remoted.
pip set up langextract
Figuring out Hostile Drug Reactions in Medical Notes with LangExtract & Gemini
Now let’s get to our use case. For this walkthrough, I’ll use Google’s Gemini 2.5 Flash mannequin. You possibly can additionally use Gemini Professional for extra complicated reasoning duties. You’ll must first set your API key:
export LANGEXTRACT_API_KEY="your-api-key-here"
▶️ Here’s a detailed Kaggle notebook to observe alongside.
Step 1: Outline the Extraction Job
Let’s create our immediate for extracting drugs, dosages, adversarial reactions, and actions taken. We are able to additionally ask for severity the place talked about.
immediate = textwrap.dedent("""
Extract treatment, dosage, adversarial response, and motion taken from the textual content.
For every adversarial response, embrace its severity as an attribute if talked about.
Use precise textual content spans from the unique textual content. Don't paraphrase.
Return entities within the order they seem.""")

Subsequent, let’s present an instance to information the mannequin in direction of the right format:
# 1) Outline the immediate
immediate = textwrap.dedent("""
Extract situation, treatment, dosage, adversarial response, and motion taken from the textual content.
For every adversarial response, embrace its severity as an attribute if talked about.
Use precise textual content spans from the unique textual content. Don't paraphrase.
Return entities within the order they seem.""")
# 2) Instance
examples = [
lx.data.ExampleData(
text=(
"After taking ibuprofen 400 mg for a headache, "
"the patient developed mild stomach pain. "
"They stopped taking the medicine."
),
extractions=[
lx.data.Extraction(
extraction_class="condition",
extraction_text="headache"
),
lx.data.Extraction(
extraction_class="medication",
extraction_text="ibuprofen"
),
lx.data.Extraction(
extraction_class="dosage",
extraction_text="400 mg"
),
lx.data.Extraction(
extraction_class="adverse_reaction",
extraction_text="mild stomach pain",
attributes={"severity": "mild"}
),
lx.data.Extraction(
extraction_class="action_taken",
extraction_text="They stopped taking the medicine"
)
]
)
]
Step 2: Present the Enter and Run the Extraction
For the enter, I’m utilizing an actual scientific sentence from the ADE Corpus v2 dataset on Hugging Face.
input_text = (
"A 27-year-old man who had a historical past of bronchial bronchial asthma, "
"eosinophilic enteritis, and eosinophilic pneumonia introduced with "
"fever, pores and skin eruptions, cervical lymphadenopathy, hepatosplenomegaly, "
"atypical lymphocytosis, and eosinophilia two weeks after receiving "
"trimethoprim (TMP)-sulfamethoxazole (SMX) remedy."
)
Subsequent, let’s run LangExtract with the Gemini-2.5-Flash mannequin.
end result = lx.extract(
text_or_documents=input_text,
prompt_description=immediate,
examples=examples,
model_id="gemini-2.5-flash",
api_key=LANGEXTRACT_API_KEY
)
Step 3: View the Outcomes
You may show the extracted entities with positions
print(f"Enter: {input_text}n")
print("Extracted entities:")
for entity in end result.extractions:
position_info = ""
if entity.char_interval:
begin, finish = entity.char_interval.start_pos, entity.char_interval.end_pos
position_info = f" (pos: {begin}-{finish})"
print(f"• {entity.extraction_class.capitalize()}: {entity.extraction_text}{position_info}")

LangExtract accurately identifies the adversarial drug response with out complicated it with the affected person’s pre-existing situations, which is a key problem in this kind of process.
If you wish to visualize it, it’s going to create this .jsonl
file. You may load that .jsonl
file by calling the visualization perform, and it’ll create an HTML file for you.
lx.io.save_annotated_documents(
[result],
output_name="adr_extraction.jsonl",
output_dir="."
)
html_content = lx.visualize("adr_extraction.jsonl")
# Show the HTML content material straight
show((html_content))

Working with longer scientific notes
Actual scientific notes are sometimes for much longer than the instance proven above. As an example, right here is an precise notice from the ADE-Corpus-V2 dataset launched beneath the MIT License. You may entry it on Hugging Face or Zenodo.

To course of longer texts with LangExtract, you retain the identical workflow however add three parameters:
extraction_passes runs a number of passes over the textual content to catch extra particulars and enhance recall.
max_workers controls parallel processing so bigger paperwork may be dealt with sooner.
max_char_buffer splits the textual content into smaller chunks, which helps the mannequin keep correct even when the enter could be very lengthy.
end result = lx.extract(
text_or_documents=input_text,
prompt_description=immediate,
examples=examples,
model_id="gemini-2.5-flash",
extraction_passes=3,
max_workers=20,
max_char_buffer=1000
)
Right here is the output. For brevity, I’m solely exhibiting a portion of the output right here.

If you would like, you may also cross a doc’s URL on to the text_or_documents
parameter.
Utilizing LangExtract with Native fashions through Ollama
LangExtract isn’t restricted to proprietary APIs. You may also run it with native fashions by means of Ollama. That is particularly helpful when working with privacy-sensitive scientific knowledge that may’t go away your safe setting. You may arrange Ollama regionally, pull your most well-liked mannequin, and level LangExtract to it. Full directions can be found within the official docs.
Conclusion
For those who’re constructing an info retrieval system or any software involving metadata extraction, LangExtract can prevent a big quantity of preprocessing effort. In my ADR experiments, LangExtract carried out effectively, accurately figuring out drugs, dosages, and reactions. What I observed is that the output straight is dependent upon the standard of the few-shot examples offered by the person, which suggests whereas LLMs do the heavy lifting, people nonetheless stay an essential a part of the loop. The outcomes have been encouraging, however since scientific knowledge is high-risk, broader and extra rigorous testing throughout numerous datasets continues to be wanted earlier than transferring towards manufacturing use.