A rule based solution to co-reference resolution in clinical text
This paper addresses coreference resolution of biomedical concept mentions in clinical text. Unlike general-purpose coreference models, which suffer from poor domain generalizability, the proposed method introduces a deeply customized, rule-driven approach grounded in linguistic principles and empirical pattern analysis of training data. It constructs a multi-layered, handcrafted rule system integrating exact string matching, semantic constraints (e.g., ontological type compatibility), and contextual consistency checks. Evaluated on the 2011 i2b2 multi-center clinical dataset, the system achieves an overall F1-score of 89.6%, substantially outperforming contemporary machine learning baselines. The primary contribution is the first interpretable, high-precision rule-based framework specifically designed for clinical text—balancing domain specificity with transparent, human-verifiable inference logic. This work establishes an effective paradigm for coreference resolution in low-resource, specialized domains where labeled data is scarce and model interpretability is critical.