DeID-Clinic: A Risk-Aware Pseudonymization Framework for Clinical Text De-identification and Re-identification Risk Assessment

Angel Paul, Dhivin Shaji, Lifeng Han, Warren Del-Pinto, Goran Nenadic, Suzan Verberne


Abstract
The increasing availability of sensitive textual data has created an urgent need for robust de-identification methods that enable compliant data sharing while preserving downstream utility. This paper presents DeID-Clinic, a multi-layered framework for automated pseudonymization and re-identification risk assessment of clinical free-text data. Our approach integrates domain-adapted transformer models, including BioBERT and ClinicalBERT, into the MASK de-identification framework to improve the detection and masking of protected health information (PHI). Beyond entity recognition, we introduce a novel document-level risk assessment module that quantifies residual re-identification risk using a combination of k-anonymity, l-diversity, t-closeness, contextual similarity, and entity co-occurrence analysis. Experiments conducted on the i2b2 2014 de-identification dataset demonstrate strong performance, achieving macro-level F1 scores above 0.96 for several entity categories, while enabling quantitative prioritization of high-risk documents for further review. Our results highlight the effectiveness of combining neural de-identification with explicit risk modeling, supporting privacy-preserving data sharing in sensitive domains. Although evaluated on clinical text, the proposed framework is generalizable to other privacy-critical domains such as legal and administrative documents, where reliable pseudonymization and risk-aware anonymization are essential.
Anthology ID:
2026.legal-1.5
Volume:
Proceedings of the Joint Workshop on Legal and Ethical Issues in Human Language Technologies and Computational Approaches to Language Data Pseudonymization, Anonymization, De-identification, and Data Privacy (LEGAL2026 and CALD-pseudo 2026) @ LREC 2026
Month:
May
Year:
2026
Address:
Palma, Mallorca (Spain)
Editors:
Ingo Siegert, Maria Irena Szawerna, Khalid Choukri, Simon Dobnik, Paweł Kamocki, Therese Lindström Tiedemann, Pierre Lison, Ricardo Muñoz Sánchez, Ildikó Pilán, Lisa Södergård, Kossay Talmoudi, Elena Volodina, Xuan-Son Vu
Venues:
LEGAL | CALD-pseudo | WS
SIG:
Publisher:
ELRA
Note:
Pages:
40–52
Language:
External URL:
https://lrec.elra.info/lrec2026-ws-legal-05
DOI:
10.63317/5muz36muepa2
Bibkey:
Cite (ACL):
Angel Paul, Dhivin Shaji, Lifeng Han, Warren Del-Pinto, Goran Nenadic, and Suzan Verberne. 2026. DeID-Clinic: A Risk-Aware Pseudonymization Framework for Clinical Text De-identification and Re-identification Risk Assessment. In Proceedings of the Joint Workshop on Legal and Ethical Issues in Human Language Technologies and Computational Approaches to Language Data Pseudonymization, Anonymization, De-identification, and Data Privacy (LEGAL2026 and CALD-pseudo 2026) @ LREC 2026, pages 40–52, Palma, Mallorca (Spain). ELRA.
Cite (Informal):
DeID-Clinic: A Risk-Aware Pseudonymization Framework for Clinical Text De-identification and Re-identification Risk Assessment (Paul et al., LEGAL-CALD-pseudo 2026)
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