GLoC-EHR is a multimodal language model that processes electronic health records by combining a fixed-size global memory of the entire patient trajectory with a local memory of selected events. It generates hospital-course summaries and masked concept descriptions, then is fine‑tuned to cite evidence before answering clinical questions, using group relative policy optimization to reward correct, evidence‑supported responses. On MIMIC‑IV outcome tasks, GLoC‑EHR achieves the highest macro AUROC among compared models when answering directly, and maintains strong performance with evidence‑cited reasoning while adding distinct supported findings from the local memory.
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).
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:2604. 06684v2 Announce Type: replace Abstract: Clinical reasoning over electronic health records (EHRs) is a fundamental yet challenging task in modern healthcare.
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:2606. 24102v1 Announce Type: cross Abstract: Most electronic health record (EHR) foundation models encode clinical events as discrete event tokens from a fixed vocabulary and therefore cannot directly represent events containing unseen concepts or new combinations of concepts and attributes such as numeric values.
arXiv:2609.39566v1 Announce Type: new Abstract: Foundation models can serve as clinical agents through tool-use harnesses. However, conventional medical benchmarks assess reasoning over preselected e...
arXiv:2605.20292v2 Announce Type: replace Abstract: Numerical time-series models effectively process irregular electronic health record (EHR) trajectories, but do not expose which temporal patterns s...
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.
CoEM introduces a Commit-on-Evidence Memory system that learns when to compress source evidence into compact memory facts while preserving potentially useful excerpts verbatim in a pending set. The system uses a learned policy to decide whether to promote, retain, or discard each pending excerpt as new context arrives, and a frozen verifier ensures only supported facts are committed. Reinforcement learning trains this policy with step-level evidence rewards and final answer rewards, leading to consistent improvements in long-context reasoning, achieving 10.4–11.4 F1 points over the strongest baseline on 6,400-document inputs.
arXiv:2607. 25947v1 Announce Type: new Abstract: Question answering (QA) over irregular clinical time series (ICTS) plays a pivotal role in a wide range of healthcare applications.
arXiv:2609.27987v1 Announce Type: new Abstract: Large language models (LLMs) have made substantial progress on medical question-answering, yet effective medical dialogue also requires learning to ask...
arXiv:2609.39371v1 Announce Type: new Abstract: In hospital workflows, electronic health records (EHRs) are often noisy, and may not contain the evidence needed to confirm events or measurements refe...