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Accuracy, sensitivity, specificity, F1 scores, and positive predictive values were used to assess performance. Of 1,312 patients, 737 (56.2%) were abused. Model 1 had an accuracy of 86.3%, sensitivity of 87.2%, specificity of 85.1%, F1 score of 0.86, and positive predictive value (PPV) of 88.7% for the validation set with an area under the receiver Operating Curve (ROC AUC) of 0.86. NLP based Model 2 had an accuracy of 93.4%, sensitivity 92.5%, specificity of 94.6%, F1 score of 0.93, and PPV of 95.9% for the validation set, with a ROC AU