arXiv Computation and Language

Verifiable by Construction: Claim-Level Evaluation of Verbatim Citation in Clinical Question Answering

arXiv Computation and Language
Aug 31

UIC-AIHealth4All at ArchEHR-QA 2026: Answer-First Evidence Grounding for Clinical Question Answering

The UIC-AIHealth4All system was presented for the ArchEHR-QA 2026 shared task on grounded question answering from electronic health records. It participated in evidence identification, answer generation, and answer‑evidence alignment, using an answer‑first pipeline that generates candidate answers with cited note sentences before classifying the full evidence set. The system ranked third in evidence identification, ninth in answer generation, and fifth in answer‑evidence alignment, and a linguistic analysis showed its outputs were harder to read than clinician‑authored references, highlighting the need for readability optimization in clinical NLP.

By Mohammad Arvan, Hossein Haeri, Natalie Parde, Rebecca T. Feinstein
arXiv AI
Jun 2

Med-V1: Small Language Models for Zero-shot and Scalable Biomedical Evidence Attribution

arXiv:2603. 05308v3 Announce Type: replace-cross Abstract: Assessing whether an article supports an assertion is essential for hallucination detection and claim verification.

By Qiao Jin, Yin Fang, Lauren He, Yifan Yang, Guangzhi Xiong, Zhizheng Wang, Nicholas Wan, Joey Chan, Donald C. Comeau, Robert Leaman, Charalampos S. Floudas, Aidong Zhang, Michael F. Chiang, Yifan Peng, Zhiyong Lu
arXiv AI
Jun 16

EHRNote-ChatQA: A Benchmark for Evidence-Grounded Multi-Turn Clinical Question Answering over Longitudinal Discharge Summaries

arXiv:2606. 15735v1 Announce Type: cross Abstract: Discharge summaries are crucial clinical documents containing the context of a patient's overall hospital stay, and are routinely reviewed by medical experts for patient readmission, ongoing care, and diagnostic decision-making.

By Jiyoun Kim, Muhan Yeo, Eunhye Jang, Jeewon Yang, Hangyul Yoon, Su Ji Lee, Hee Jo Han, Hee-Jae Jung, Doyun Kwon, Jun young Lee, Jaehun Lee, Jung-Oh Lee, Sunjun Kweon, Jong Hak Moon, Daseul Kim, Minjae Cho, Edward Choi
arXiv Computation and Language
Aug 24

MedRAGChecker: Claim-Level Verification for Biomedical Retrieval-Augmented Generation

MedRAGChecker is a claim-level verification framework designed for biomedical retrieval‑augmented generation (RAG). It decomposes generated answers into atomic claims and assesses each claim’s support by combining evidence‑grounded natural language inference with biomedical knowledge‑graph consistency signals. The aggregated claim decisions provide diagnostics that distinguish retrieval and generation failures, such as faithfulness, under‑evidence, contradiction, and safety‑critical errors, and the system is distilled into compact models for scalable evaluation.

By Yuelyu Ji, Min Gu Kwak, Hang Zhang, Xizhi Wu, Chenyu Li, Yanshan Wang
arXiv AI
Sep 2

Medical Causal Hypothesis Verification with Large Language Models

The paper "Medical Causal Hypothesis Verification with Large Language Models" reports a small-scale study evaluating eight LLMs on 17 medical causal hypotheses. The authors introduce an evaluation framework and annotate 1,067 evidence points across six criteria, using nine metrics to assess performance. Results show that while LLMs have strong recall, they frequently fail to provide valid scientific articles, evidence, or reject unsupported hypotheses, revealing a critical limitation for their use in healthcare.

By Safiyyah Ahmed, Abrar Ansari, Md Aminul Islam, Elena Zheleva
arXiv AI
2d ago

CLEAR: Cross-Source Evidence Adjudication for Large Language Models in Medicine

The paper introduces CLEAR, an agentic framework designed to improve the reliability of large language models (LLMs) in medical contexts by adjudicating evidence from multiple sources. CLEAR generates candidate answers from three distinct pathways—parametric knowledge, locally curated corpora, and dynamically retrieved evidence—and then uses an aggregation verifier to evaluate agreement and conflict among these sources. An adjudication module decides whether to preserve or revise conclusions, employing override-guard and challenge-audit mechanisms, and initiates targeted follow-up searches when conflicts remain unresolved.

By Shuai Wang, Yize Zhao, Qingyu Chen
arXiv AI
Sep 3

FDARxBench: Benchmarking Regulatory and Clinical Reasoning on FDA Generic Drug Assessment

FDARxBench is an expert‑curated benchmark designed to evaluate document‑grounded question answering on FDA drug label documents, focusing on generic drug assessment. It features a multi‑stage pipeline that generates high‑quality QA examples covering factual, multi‑hop, and refusal tasks, and includes protocols for both open‑book and closed‑book reasoning. Experiments with various language models show significant gaps in factual grounding, long‑context retrieval, and safe refusal behavior, highlighting the challenge of regulatory‑grade label comprehension.

By Betty Xiong, Jillian Fisher, Benjamin Newman, Meng Hu, Shivangi Gupta, Yejin Choi, Lanyan Fang, Russ B Altman
arXiv AI
Aug 28

MedFabric: Gold Evidence Hides the Difficulty of Word-Level Medical Fabrication Detection

MedFabric is a new benchmark for detecting word‑level medical fabrications, comprising 646 fabricated statements each paired with a ground‑truth passage that shares the same LLM authorship and nearly identical wording. The study shows that current detectors perform poorly—expert clinicians achieve only 53.3% macro‑F1 and no detector family surpasses 60% without gold evidence—highlighting that detection hinges on evidence correctness rather than subtlety of fabrication. The authors demonstrate that a retrieval‑confidence gate can substantially improve performance, raising macro‑F1 from 61% to 74%.

By Tung Sum Thomas Kwok, Qian Qian, Xiaofeng Lin, Dongxu Zhang, Jun Han, Zhichao Yang, Davin Hill, Tamer Soliman, Sanjit Singh Batra, Robert Tillman, Guang Cheng