The paper introduces STAM, a state‑transition‑aware memory framework for large language model agents that process clinical records. STAM records changes in a patient’s state as new entries arrive, using semantic retrieval and typed clinical relations to separate current information (Active) from superseded or resolved information (History). During retrieval, a query‑dependent gate selects the appropriate historical memory, enabling accurate question answering and state‑maintenance diagnostics across four longitudinal clinical benchmarks.
arXiv:2510.03536v3 Announce Type: replace-cross Abstract: Multi-turn medical question answering (QA) aims to model realistic clinical diagnosis, where a doctor gathers patient information across mult...
arXiv:2608.29528v1 Announce Type: new Abstract: Longitudinal clinical agents must maintain an evolving patient state from evidence distributed across visits, time points, and specialties. However, ho...
arXiv:2607. 22566v1 Announce Type: new Abstract: MedLoCoMo is a Medical Long-Context Memory benchmark for patient-specific clinical reasoning over multi-admission medical dialogue.
arXiv:2607. 12893v1 Announce Type: new Abstract: Long-term memory has become a foundational capability for LLM-based agents that accompany users across extended, multi-session interactions.
arXiv:2608.21810v1 Announce Type: cross Abstract: Clinical decision-making is inherently experience-driven: physicians progressively refine their reasoning by synthesizing patient history, multimodal...
PIA is a personal intelligence agent that works alongside a consumer health agent to convert health conversations into structured clinical records and to transform those records into a synthesized understanding of the user. It uses a memory system with four controls—extraction, memory, retrieval, and understanding—each supported by a health module that includes a schema, medical alias dictionary, knowledge graph, and temporal rules. The agent demonstrates that deeper memory injection—from simple recall to a health snapshot to a causal trajectory—yields progressively richer answers, while also revealing challenges such as missing self‑reported data, the influence of question phrasing, and the presence of structural noise in causal links.
The paper introduces BRIE, a scalable framework that automatically creates question–answer pairs from longitudinal electronic health record notes, validated by nineteen clinicians. It offers a continuously maintainable benchmark for evaluating large language models in clinical settings, addressing limitations of manual, costly, and quickly outdated existing benchmarks. Experiments across nine LLMs and five inference strategies reveal that even state‑of‑the‑art systems often miss clinically important information, especially for synthesis‑heavy queries.
The paper introduces BRIE, a continuously maintainable benchmark for evaluating large language models (LLMs) in electronic health record (EHR) information retrieval. It presents a scalable framework that automatically generates question–answer pairs from longitudinal EHR notes, validated by nineteen clinicians. The benchmark allows assessment of multiple inference strategies and highlights that state‑of‑the‑art LLMs often miss clinically important information, especially when synthesis across documents is required.
arXiv:2609.37587v1 Announce Type: cross Abstract: Longitudinal electronic health record (EHR) modeling requires integrating new visits with an expanding patient history. Yet the continual accumulatio...
arXiv:2608. 03463v1 Announce Type: new Abstract: Long-term memory is essential for LLM-based agents to sustain interactions and reliably leverage distant history.
arXiv:2610.00562v1 Announce Type: cross Abstract: Longitudinal clinical reasoning requires large language models (LLMs) to identify and integrate relevant evidence distributed across extended patient...
arXiv:2607. 09322v1 Announce Type: new Abstract: In this work, we introduce LongMedBench, a real-world EHR-based benchmark for long-horizon clinical decision-making.