arXiv AI

Understanding the Limits of Agentic ICD Coding

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
Aug 19

Foundation Agents Meet Agentic Deep Research: Evidence-Grounded Clinical Code Forecasting

The paper introduces ICD-Deepresearch, a workflow that combines foundation models for electronic health records (EHR) and language models with medical search and ICD dictionaries to forecast future ICD codes for upcoming clinical encounters. It evaluates candidate code transitions by linking patient evidence, external clinical relations, and exact code semantics within a fixed top‑K budget, using SparseEHR for initial priors, GPT‑5 for complementary forecasts, and a final selection step that validates, deduplicates, and ranks candidates. The method achieves patient‑averaged precision/recall of 24.60/35.09% on MIMIC‑III and 25.14/48.32% on MIMIC‑IV, with physicians rating 51–68% of its retrieved documents as useful, outperforming standalone GPT‑5 web search and Medical Deep Research.

By Junda Wang, Meysam Ghaffari, Akshat Choube, Mohsen Sharifi Renani, Hong Yu, Carlos Morato
arXiv AI
Sep 18

LearnActCoder: Role-Aware Error Memory for Adaptive Clinical Coding Agents

LearnActCoder introduces a role‑aware error memory system for clinical coding agents, converting labeled errors into a structured Mistake Knowledge Database (MistakeKDB). The framework routes false‑negative lessons to a recall‑oriented coder and false‑positive lessons to a precision‑oriented judge, forming a Coder‑Judge pipeline. On MIMIC‑III and MIMIC‑IV datasets, the MistakeKDB improves CPT F1 by 5.9 percentage points and shifts ICD‑10 coding toward higher precision, while maintaining stable performance on held‑out notes.

By Meysam Ghaffari, Bhaskar Sen, Nasim Sabetpour, Nina Fatehi, Animesh Agarwal, Carlos Morato
arXiv AI
Jun 2

AutoMedBench: Towards Medical AutoResearch with Agentic AI Models

arXiv:2606. 01961v1 Announce Type: new Abstract: Autonomous agents are increasingly expected to support end-to-end medical-AI research workflows, moving beyond isolated prediction tasks or short-form clinical question answering.

By Junqi Liu, Salena Song, Yuhan Wang, Jiawei Mao, Hardy Chen, Xiaoke Huang, Tianhao Qi, Pengfei Guo, Yucheng Tang, Yufan He, Can Zhao, Andriy Myronenko, Dong Yang, Daguang Xu, Yuyin Zhou
arXiv AI
Sep 2

AI Morbidity and Mortality: A Framework for Clinical AI Failure Review

AI Morbidity and Mortality (AI M&M) is a structured, blameless framework designed to review clinical AI failures. It combines standardized case intake, evidence preservation, investigator reconstruction, tool‑in‑loop attribution, and corrective‑action tracking, classifying each event across four linked dimensions: Trigger, Mechanism, Clinical Pathway, and Corrective Action. The authors demonstrate the framework with five outpatient medication and clinical decision‑support cases, achieving full agreement among reviewers on all classification axes.

By Paulius Mui, Dean F. Sittig, Steve Labkoff, Sanjay Basu