arXiv AI

Three Generations of Healthcare IT: From the Digital Record to the Computable Care Process

arXiv:2608. 08806v1 Announce Type: new Abstract: Objective.

arXiv AI
Jul 7

Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation

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
arXiv AI
Aug 12

Logit-Boundary Geometric Belief Interfaces and Sparse Sheaf-Enclave Protocols: A Self-Contained Substrate for Secure Network Electronic Health Record (EHR) Interoperability

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 AI
Jun 24

A global log for medical AI

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 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 11

CliniCARE-Bench: Clinical Calibrated Audit of Medical Reasoning in EHR

arXiv:2608. 07796v1 Announce Type: new Abstract: Large language models perform strongly on medical knowledge benchmarks, but reliable clinical deployment requires agents to conduct defensible investigations over heterogeneous, longitudinal records: determining what evidence is needed, retrieving and reconciling structured and free-text data, grounding conclusions in verifiable evidence, and deferring cases that cannot be resolved reliably.

By Veronica Chatrath, Bryan Zhu, George Pu, Jingxuan Fan, Apaar Shanker, Varun Ursekar, Anahita Sharma, Jason Qin, Keqi Han, Soham Dinesh Tiwari, Soham Dan, Vijay Kalmath, Yuan Li, Daniel Yue Zhang, Chenguang Wang, Zainab Doctor, Zhijun Yin, Nigam H. Shah, Yuan Xue
arXiv AI
Jun 6

PSEBench: A Controllable and Verifiable Benchmark for Evaluating LLMs in Patient Safety Event Triage

arXiv:2606. 05463v1 Announce Type: new Abstract: Patient safety event triage, determining whether a clinical event is reportable under jurisdiction-specific policy, is a high-stakes task typically performed manually by patient safety experts.

By Keqi Han, Ryan Young, Annabel Strauss, Lindsey Hughes, Katharine M. Nesbitt, Nicole Schueler, Che Ngufor, Carl Yang, Yuan Xue, Zhijun Yin