arXiv AI

Information Set Emulation: Causal Certificates for AI Derived EHR Features

The paper introduces information set emulation, a method that attaches detailed causal certificates—such as source evidence, timing, and proposed causal roles—to AI‑derived features extracted from electronic health records (EHRs). These certificates provide auditable evidence for causal roles and guide whether a feature can be used for causal inference or should be routed to compatible reporting or separate analyses. The framework integrates with a joint EHR observation map and offers identification, estimation, and diagnostic tools under standard causal assumptions, illustrated through synthetic simulations and a finite‑world example.

arXiv Computation and Language
Sep 23

Quantitative Evidence Mining for Plausibility-Aware Biomedical AI: A Narrative Review and Conceptual Framework

The article proposes a framework called quantitative evidence mining to transform biomedical findings into structured, context-rich evidence units. It outlines core elements such as claim, measured entity, value, comparator, population, conditions, temporal context, uncertainty, provenance, validation, and expert review. The authors present an eight-stage reference architecture and emphasize that plausibility should remain multidimensional rather than collapsed into a single truth label, linking extraction to evidence synthesis for applications like clinical trials, biomarker research, and knowledge-graph construction.

By Negin Sadat Babaiha, Stefan Geissler, Marie-Christine Simon, Martin Hofmann-Apitius, Marc Jacobs
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
Sep 17

When AI Generates Covariates: Causal Typing and Estimand Drift in Sequential Experiments

The paper introduces a causal type discipline for sequential experiments that use AI-generated covariates. It defines a framework—including a versioned representation map, causal role classifier, claim-status filter, and estimand lock—to ensure that generated features are correctly classified as treatments, mediators, outcomes, or other roles, thereby preserving the intended causal estimand. The authors apply this framework to analyze compression bias, mediator adjustment, leakage, and other issues, demonstrating through simulations that careful refinement of generated covariates can reduce bias while design erasure or improper selection can lead to bias or undercoverage.

By Takes Fujita (VRI), Nobutaka Hattori (Department of Neurology, Juntendo University School of Medicine)
arXiv AI
Aug 28

Structured Evidence Routing for Incident Risk Prediction from Multimodal Longitudinal EHRs

The paper introduces structured evidence routing for incident risk prediction using multimodal longitudinal electronic health records (EHRs). It proposes a router‑predictor‑reviewer workflow that condenses full patient records into compact summaries and targeted evidence slices, enabling a predictor to generate evidence‑linked risk assessments that a reviewer can critique. Experiments on five one‑year incident diagnosis tasks show that the method matches the AUROC of established supervised EHRSHOT baselines and remains competitive on AUPRC, while providing a patient‑specific evidence trail.

By Animesh Agarwal, Meysam Ghaffari, Nina Fatehi, Carlos Morato
arXiv Machine Learning
Jun 8

One Loss to Rule Them All: Marked Time-to-Event for Structured EHR Foundation Models

arXiv:2602. 00541v2 Announce Type: replace Abstract: Clinical events captured in Electronic Health Records (EHR) are irregularly sampled and may consist of a mixture of discrete events and numerical measurements, such as laboratory values or treatment dosages.

By Zilin Jing, Vincent Jeanselme, Yuta Kobayashi, Simon A. Lee, Chao Pang, Aparajita Kashyap, Yanwei Li, Xinzhuo Jiang, Shalmali Joshi
arXiv AI
Jun 30

Primary ICD Category Prediction using LLM-based Probing

arXiv:2606. 28798v1 Announce Type: new Abstract: Objective: ICD codes are central to reimbursement, research, and population health surveillance, yet automated coding systems often struggle to integrate diagnostic signals from both clinical narratives and structured electronic health record (EHR) variables.

By Chengyuan Liu, Xinyue Zhang, Yao Li, Guanting Chen