arXiv AI

Clinical Note Bloat Reduction for Efficient LLM Use

The paper introduces TRACE, a method that removes duplicated text—known as note bloat—from clinical notes by leveraging EHR metadata and frequency-based de‑duplication. Across 5.3 million notes from diverse patient cohorts, TRACE eliminated 47.3 % of chart text while preserving information extraction and prediction performance, with only 0.3–6.6 % of removed content being author‑generated. The authors project that applying TRACE could yield net savings of $1.00 M to $13.58 M over three years at a large academic center, depending on model pricing schemes.

arXiv AI
Aug 14

Enhancing In-Hospital Mortality Prediction Using Multi-Representational Learning with LLM-Generated Expert Summaries

arXiv:2411. 16818v2 Announce Type: replace-cross Abstract: To evaluate a multi-representational framework in which large language model (LLM)-generated expert summaries of intensive care unit (ICU) notes are fused with physiology for in-hospital mortality (IHM) prediction, and to determine how much of the resulting gain is non-redundant with the notes themselves.

By Harshavardhan Battula, Jiacheng Liu, Jaideep Srivastava
arXiv Computation and Language
Sep 22

Knowledge Graph-Augmented Ambient AI for Clinical Note Generation

arXiv:2609.22239v1 Announce Type: new Abstract: Ambient AI is increasingly adopted in healthcare to automatically generate clinical notes from patient-clinician conversations, with the potential to s...

By Jakir Hossain, Yi-Fei Zhao, Hongjian Wang, Minmei Shih, Katie Leigh Mullen, Ahmad P. Tafti, Leming Zhou, Manoj Purohit, William Hogan, Jay Zeng, Elizabeth Skidmore, Yanshan Wang
arXiv AI
Jul 13

Evaluating Retrieval-Augmented Generation vs. Long-Context Input for Clinical Reasoning over EHRs

arXiv:2508. 14817v2 Announce Type: replace-cross Abstract: Objective: To evaluate whether retrieval-augmented generation (RAG) can serve as an efficient alternative to long-context prompting for clinical reasoning over electronic health records (EHRs).

By Skatje Myers, Dmitriy Dligach, Timothy A. Miller, Samantha Barr, James Landefeld, Yanjun Gao, Matthew Churpek, Anoop Mayampurath, Majid Afshar
arXiv AI
Aug 20

Key Coverage Matters: Semi-Structured Extraction of OCR Clinical Reports

The paper presents a method for extracting key information from OCR‑digitized clinical reports, addressing challenges posed by heterogeneous documents and noisy OCR output. It introduces an open key space that is iteratively mined, normalized, clustered, and verified to build a canonical key inventory, and defines key coverage as a metric for inventory completeness. Experiments on reports from over 20 hospitals using a 0.2B BERT model show that performance improves steadily with key coverage, achieving high F1 scores when the top 90 keys are covered and outperforming a fine‑tuned Qwen3‑0.6B baseline.

By Yu Wang, Yingyun Li, Ying Qin, Haiyang Qian
arXiv Computation and Language
Sep 25

Clinical Intent Extraction: A FHIR-Aligned Representation and the CIRCA Benchmark

The paper introduces Clinical Intent Extraction (CIE), a task that transforms fragmented clinical action annotations into complete structured records called Clinical Intent Representation (CIR). CIR decomposes each action into verb, type, coded target, timing, condition, request‑intent (aligned to HL7 FHIR) and modality, adding dimensions absent in prior datasets. By re‑expressing five heterogeneous corpora into CIR, the authors create CIRCA, a benchmark of 10,011 harmonized intents with human‑validated subsets, crosswalks, and a deterministic FHIR R4 mapper, and demonstrate that existing models perform poorly on the full task, highlighting the need for targeted development.

By Alexander Apartsin, Yehudit Aperstein
arXiv AI
Jul 9

Health System Scale Semantic Search Across Unstructured Clinical Notes

arXiv:2604. 25605v2 Announce Type: replace-cross Abstract: Introduction: Semantic search, which retrieves documents based on conceptual similarity rather than keywords, offers advantages for retrieval of clinical information.

By Faith Wavinya Mutinda, Spandana Makeneni, Anna Lin, Shivaji Dutta, Irit R. Rasooly, Patrick Dibussolo, Shivani Kamath Belman, Hessam Shahriari, Kevin Murphy, Alex B. Ruan, Barbara H. Chaiyachati, Sanjay Chainani, Robert W. Grundmeier, Scott M. Haag, Jeffrey M. Miller, Heather M. Griffis, Ian M. Campbell