arXiv Computation and Language

Checkup2Action: A Multimodal Clinical Check-up Report Dataset for Patient-Oriented Action Card Generation

arXiv AI
3d ago

Auditing Escalation Reliability in Healthcare LLM Agents: A Perturbation-Controlled Benchmark of Workflow-State Failures

The paper introduces a benchmark of 400 synthetic healthcare workflow episodes to evaluate large language model (LLM) agents’ reliability in escalating care when evidence is missing or conflicting. It finds that while clean decision accuracy is high (0.97), models miss a large proportion of necessary escalations (32–97%) under uncertainty, and even the largest 9.7B model’s performance drops to 0.78 in conflict scenarios. A workflow-aware controller improves utility and reduces missed escalations, but its effectiveness is limited by lexical generalization failures.

By Zihao Zheng (Washington University in St. Louis), Junyi Yao (Washington University in St. Louis), Baichuan Li (Southern Methodist University), Jiayu Long (Washington University in St. Louis)
arXiv AI
3d ago

TRACER: A Multimodal Harness for Patient Care in Hospitals

TRACER is a training‑free multimodal harness that builds minute‑level action records from continuous video and merges them with clinical data into hourly reports, enabling an LLM agent to query and inspect both modalities. In evaluation, TRACER achieved up to 84.8% accuracy on action detection and 61.0% accuracy on clinician‑informed QA, outperforming the strongest baseline. Across 280 patients and ~60,000 camera‑hours, TRACER detected significantly less purposeful activity in patients with a positive delirium assessment compared to those without (p < 0.0001).

By Zane Durante, Paul Tang, Keshigeyan Chandrasegaran, Amit Kaushal, Shrinidhi Kowshika Lakshmikanth, Feolu Kolawole, Yu Jun Zheng, Yifan Geng, Shobhit Agarwal, Kevin Schulman, Juan Carlos Niebles, Ehsan Adeli, Arnold Milstein, Li Fei-Fei
arXiv AI
Jul 13

MedRealMM: A Real-World Multimodal Benchmark for Chinese Online Medical Consultation

arXiv:2607. 09142v1 Announce Type: new Abstract: Large language models (LLMs) are increasingly deployed in online medical consultation, yet existing benchmarks remain poorly aligned with real clinical practice.

By Runhan Shi, Quan Zhou, Yuqian Xu, Shuai Yang, Xin Wu, Zitong Zhou, Hui Liu, Bin Cha, Zheming Wang, Liya Li, Wei Wei, Haoyuan Hu, Jun Xu
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
Oct 9

MedBenchAgent: Towards Systematic Automation of Medical VLM Benchmark Construction

MedBenchAgent is a multi‑agent framework that automates the entire process of constructing medical vision‑language model benchmarks, from deriving the benchmark specification to generating and auditing evaluation items. It uses a Benchmark Intermediate Representation (BIR) to encode task definitions, evidence mappings, evaluation protocols, and item specifications, separating planning from instantiation. The system achieves a Task‑Space F1 of 90.9% and demonstrates high audit pass rates, outperforming existing task induction methods and showing portability across specialized medical domains.

By Yulin Fu (Beijing University of Posts and Telecommunications), Junren Wang (West China Hospital, Sichuan Provincial Engineering Research Center of Intelligent Diagnosis and Treatment of Breast Diseases), Guangjing Yang (Beijing University of Posts and Telecommunications), Zhangyuan Yu (Beijing University of Posts and Telecommunications), Wanran Sun (Beijing University of Posts and Telecommunications), Jiabao Zhou (Beijing University of Posts and Telecommunications), Jin Yin (West China Hospital, Sichuan Provincial Engineering Research Center of Intelligent Diagnosis and Treatment of Breast Diseases), Qicheng Lao (Beijing University of Posts and Telecommunications)
arXiv AI
Jun 19

MedRLM: Recursive Multimodal Health Intelligence for Long-Context Clinical Reasoning, Sensor-Guided Screening, Evidence-Grounded Decision Support, and Community-to-Tertiary Referral Optimization

arXiv:2606. 20164v1 Announce Type: cross Abstract: Real-world clinical decision support requires reasoning over heterogeneous and longitudinal patient information rather than answering isolated medical questions.

By Aueaphum Aueawatthanaphisut