arXiv:2607. 04907v1 Announce Type: new Abstract: Deploying Large Language Models (LLMs) in high-stakes clinical settings remains limited by structural hallucinations, weak deterministic reasoning over tabular patient data, and omissions in vector retrieval.
By Mohammed Saim Ahmed Quadri, Yunzhe Xue, Justin W. Ady, Usman Roshan
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:2602. 01086v3 Announce Type: replace Abstract: Generative AI can encode substantial medical knowledge, but patient-specific answers remain constrained by the context supplied at inference time.
By Takahito Nakajima
arXiv:2608. 10300v1 Announce Type: new Abstract: Electronic health-record interoperability is a boundary problem: legacy systems, generative models, terminology services, identity systems, and human reviewers may each expose rich internal states, while operational exchange requires a narrow shared interface of typed claims, bounded uncertainty, provenance, and explicit admission or abstention.
By Alvin Spivey, Thomas Huang
arXiv:2609.00296v1 Announce Type: new
Abstract: Large language model (LLM) agents are increasingly proposed for healthcare tasks such as clinical documentation, evidence retrieval, patient messaging,...
By Junyi Yao, Baichuan Li, Zihao Zheng, Jiayu Long
arXiv:2607. 24371v1 Announce Type: cross Abstract: Healthcare interoperability requires AI systems to produce structured outputs conforming to standardized schemas including ICD-10 for diagnostic coding, CPT for procedure billing, and HL7 FHIR for data exchange.
By Jianru Shen
arXiv:2510. 04033v2 Announce Type: replace Abstract: Modern computer systems rely on syslog, a universal protocol that records critical events across heterogeneous infrastructure.
By Ayush Noori, Aaron E. Boussina, Hai Ho Bich, James Anibal, Julia Maslinski, Manuel Burger, Martin Faltys, Adam Rodman, Alan Karthikesalingam, Alessandro Blasimme, Annelia Itwaru, Ben Kaplan, Bilal A. Mateen, Christopher A. Longhurst, Daniel Yang, Dave deBronkart, Effy Vayena, Fedor Sergeev, Gauden Galea, Ha Thi Hai Duong, Harold F. Wolf III, Jacob Waxman, Joerg C. Schefold, Joshua C. Mandel, Juliana Rotich, Kenneth D. Mandl, Lily Poursoltan, Maryam Mustafa, Melissa Miles, Nigam H. Shah, Noa Dagan, Pavan Bodanki, Peter Lee, Philipp Koralus, Prathamesh Parchure, Prem Timsina, Ran D. Balicer, Robert Korom, Scott Mahoney, Seth Hain, Tien Yin Wong, Trevor Mundel, Vivek Natarajan, Ankit Sakhuja, Benjamin Glicksberg, C. Louise Thwaites, Gunnar R\"atsch, Karandeep Singh, David A. Clifton, Isaac S. Kohane, Marinka Zitnik
arXiv:2605.11533v4 Announce Type: replace
Abstract: Routine clinical check-up reports combine laboratory measurements, physiological assessments, imaging findings and visually structured information,...
By Sike Xiang, Shuang Chen, Kevin Qinghong Lin, Jialin Yu, Yijia Sun, Philip Torr, Amir Atapour-Abarghouei
arXiv:2605. 30295v2 Announce Type: replace-cross Abstract: Large language models (LLMs) show promise for clinical reasoning and decision support, but evaluation in realistic, electronic health record-congruent settings remains limited.
By Valentina Bui Muti, Eug\'enie Dulout, Ziquan Fu
arXiv:2608.23397v1 Announce Type: new
Abstract: Interactive clinical agents must gather decisive evidence and convert it into grounded actions under partial observability. A correct final diagnosis a...
By Ruoyu Wu, Shenfu Xie, Yinqian Sun, Haibo Tong, Feifei Zhao
The paper introduces MIMIC-DOS, a dataset derived from MIMIC-IV that focuses on ICU cases where patient symptoms and medical signs are discordant. It presents CARE, a privacy‑compliant multi‑stage agentic reasoning framework that uses a proprietary LLM to generate structured categories and transitions, while a local LLM performs evidence acquisition and decision‑making. In retrospective evaluations on MIMIC‑DOS, CARE outperforms other LLMs and agentic workflows, demonstrating stronger handling of conflicting clinical evidence while preserving patient privacy.
By Haochen Liu, Weien Li, Rui Song, Zeyu Li, Chun Jason Xue, Xiao-Yang Liu, Sam Nallaperuma-Herzberg, Xue Liu, Ye Yuan
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