The study evaluates an auditable patient‑timeline reconstruction system that tracks provenance, records revisions, and refuses to answer when evidence is missing. Using a synthetic corpus of 1,000 patients and 3,353 notes, two provenance‑aware Evidence Graph operators reduced graph size by 33–37% while preserving all answers across 6,813 query points; a fixed‑window baseline failed to answer over half of the points. The system’s evidence‑gating mechanisms (BioClinicalBERT and a zero‑shot LLM) responded appropriately to evidence‑unavailable controls, but performance varied on marker‑free controls, with BERT maintaining high accuracy but the LLM’s coverage dropping sharply. "whyItMatters":"The results demonstrate that provenance‑aware evidence graphs can significantly reduce data complexity while maintaining answer integrity, highlighting a practical approach to building auditable clinical NLP systems."
arXiv:2608.22062v1 Announce Type: new Abstract: Longitudinal clinical event-relation verification determines whether a patient record supports a specified relation among two or more clinical events....
Grounded Adjudication of Variations across Extracted TimeLines (GAVEL) is a new LLM‑based protocol that compares two clinical timelines against their source case report, identifying discrepancy types, issuing verdicts, and citing relevant report passages for each difference. In a study of 126 reports, GAVEL evaluated 2,738 findings from GPT‑5.6sol and DeepSeek V3.2, ranked six LLM extractors and two human annotators, and guided a merging process that improved timeline accuracy—reducing discrepancies from 7.63 to 0.85 per report and yielding a 77.0% preference rate for merged timelines. The approach demonstrates that report‑based comparison can refine extracted timelines without assuming any single timeline as ground truth.
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.
MedFabric is a new benchmark for detecting word‑level medical fabrications, comprising 646 fabricated statements each paired with a ground‑truth passage that shares the same LLM authorship and nearly identical wording. The study shows that current detectors perform poorly—expert clinicians achieve only 53.3% macro‑F1 and no detector family surpasses 60% without gold evidence—highlighting that detection hinges on evidence correctness rather than subtlety of fabrication. The authors demonstrate that a retrieval‑confidence gate can substantially improve performance, raising macro‑F1 from 61% to 74%.
The paper investigates how memory systems can answer a current query correctly yet fail to retain distinctions needed for later updates. Using a paired‑history audit, the authors evaluate 24 history pairs across six synthetic mechanisms and two model backends, achieving perfect reveal accuracy on DeepSeek and high accuracy on GLM. Record‑level audits reveal specific failures in structured reveal memories and frontier late‑reference adequacy, and the authors test a label‑equivariant repair that only partially restores correctness.
arXiv:2608. 08055v1 Announce Type: new Abstract: Large language model (LLM) agents that assist users over weeks of conversation must remember what is currently true, not merely what was once said.
arXiv:2609.21387v1 Announce Type: cross Abstract: Relexicalization is a pivotal technique in clinical NLP, as it facilitates robust masking of sensitive information while synthesizing datasets that r...
arXiv:2608.31016v1 Announce Type: cross Abstract: Ambient AI scribes draft clinical notes, and published audits find their dominant error is omission: information the encounter established that the n...
arXiv:2606. 18037v1 Announce Type: new Abstract: Tool-using LLM agents increasingly use the Model Context Protocol (MCP) to answer from heterogeneous evidence sources, including search, APIs, databases, clinical records, and formulary tools.
arXiv:2609.01111v1 Announce Type: new Abstract: Clinical LLM assistants must reason over multi-visit patient trajectories, yet whether the compact history representations used to scale them---retriev...
arXiv:2607. 21859v2 Announce Type: replace Abstract: Constructing causal directed acyclic graphs (DAGs) is a core step in biomedical causal analysis, yet it remains a largely manual process.
The paper introduces "stale‑document poisoning," a temporal alignment failure where outdated retrieval evidence causes retrieval‑augmented generation models to produce incorrect answers even when the model could answer correctly without retrieval. A benchmark of 317 verified knowledge reversals across medicine, law, software, and platform policy shows that outdated evidence flips 30–37% of Llama and Qwen answers, rising to 66–75% when models are explicitly instructed to trust the document. The study demonstrates that providing explicit validity information and a recency‑aware re‑ranker can substantially reduce poisoning, highlighting the need for models to assess whether retrieved evidence remains applicable.