arXiv AI

Future Querying: Can LLMs Serve as Implicit Medical World Models?

Hugging Face Trending Papers
Sep 24

A Living Benchmark for Information Retrieval from Electronic Health Records

The paper introduces BRIE, a scalable framework that automatically creates question–answer pairs from longitudinal electronic health record notes, validated by nineteen clinicians. It offers a continuously maintainable benchmark for evaluating large language models in clinical settings, addressing limitations of manual, costly, and quickly outdated existing benchmarks. Experiments across nine LLMs and five inference strategies reveal that even state‑of‑the‑art systems often miss clinically important information, especially for synthesis‑heavy queries.

arXiv AI
Sep 25

A Living Benchmark for Information Retrieval from Electronic Health Records

The paper introduces BRIE, a continuously maintainable benchmark for evaluating large language models (LLMs) in electronic health record (EHR) information retrieval. It presents a scalable framework that automatically generates question–answer pairs from longitudinal EHR notes, validated by nineteen clinicians. The benchmark allows assessment of multiple inference strategies and highlights that state‑of‑the‑art LLMs often miss clinically important information, especially when synthesis across documents is required.

By Jordan L. Cahoon, Chloe O. Stanwyck, Sulaiman Somani, Philip Chung, Kevin R Keet, Kameron C. Black, Andrea T. Fisher, Sarita Khemani, Jerry Liu, Stephen Ma, Saloni K. Maharaj, Rita M. Pandya, Eduardo Perez-Guerrero, Priyanka Pillai, Lisa Shieh, David J. H. Wu, James Xie, James C. McAvoy, Teresa Nguyen, Jessica Tran, Lucy Yin, Bridget Lin, Alison Callahan, Jason A. Fries, Nigam H. Shah, Emily Alsentzer
arXiv Computation and Language
Aug 25

Clinically Grounded Privacy Evaluation of Medical LMs

The paper introduces a clinically grounded privacy evaluation framework for medical language models, assessing leakage across a spectrum of adversarial access levels—from publicly inferable demographics to leaked note fragments. Using this framework on an LM pretrained on 378,000 clinical notes, the authors find that routine encounter metadata leads to high verbatim memorization and significant recovery of sensitive diagnoses (e.g., AUROC 0.91 for abortion, 0.82 for HIV). They also note that exact-match memorization can overstate disclosure, with 36% of memorized tokens being templated documentation, underscoring the risks of training on longitudinal clinical data and offering a reusable evaluation tool.

By Sasha Ronaghi, Sana Tonekaboni, Lena Stempfle, Vivian Utti, Jordan Li Cahoon, Nathaniel Hendrix, Ayin Vala, Marzyeh Ghassemi, Emily Alsentzer
arXiv Computation and Language
Sep 1

CARE: Privacy-Compliant Agentic Reasoning with Evidence Discordance

The paper introduces MIMIC-DOS, a dataset derived from MIMIC-IV that focuses on ICU cases where patient symptoms and medical signs are discordant. It presents CARE, a privacy‑compliant multi‑stage agentic reasoning framework that uses a proprietary LLM to generate structured categories and transitions, while a local LLM performs evidence acquisition and decision‑making. In retrospective evaluations on MIMIC‑DOS, CARE outperforms other LLMs and agentic workflows, demonstrating stronger handling of conflicting clinical evidence while preserving patient privacy.

By Haochen Liu, Weien Li, Rui Song, Zeyu Li, Chun Jason Xue, Xiao-Yang Liu, Sam Nallaperuma-Herzberg, Xue Liu, Ye Yuan
arXiv AI
Jun 11

Self-Prompting Small Language Models for Privacy-Sensitive Clinical Information Extraction

arXiv:2605. 04221v2 Announce Type: replace-cross Abstract: Clinical named entity recognition from dental progress notes is challenging because documentation is highly unstructured, domain-specific, and often privacy-sensitive.

By Yao-Shun Chuang, Tushti Mody, Uday Pratap Singh, Shirindokht Shiraz, Chun-Teh Lee, Ryan Brandon, Muhammad F Walji, Xiaoqian Jiang, Bunmi Tokede
arXiv Computation and Language
Sep 1

Privacy-Preserving Generation of Clinical Narratives from Medical Terminologies

The paper introduces Term2Note, a method for generating full-length clinical notes under differential privacy constraints. It separates content and form, conditioning note sections on medical terms and applying distinct DP protections to terms and notes, followed by a DP quality maximizer. Experiments show that the synthetic notes closely match real clinical notes in statistical properties, and models trained on them perform comparably to those trained on real data, outperforming existing DP text generation baselines.

By Yuping Wu, Viktor Schlegel, Warren Del-Pinto, Srinivasan Nandakumar, Iqra Zahid, Yidan Sun, Hai Li, Usama Farghaly Omar, Amirah Jasmine, Arun-Kumar Kaliya-Perumal, Chun Shen Tham, Gabriel Connors, Anil A Bharath, Goran Nenadic
arXiv Machine Learning
Aug 21

Explainable Transformer Models for Clinical Prediction Tasks on Structured Electronic Health Records

arXiv:2608. 20315v1 Announce Type: new Abstract: Predictive models over structured electronic health records (EHRs) remain central to machine learning for healthcare, but few have jointly emphasized quantitative laboratory information and interpretability with respect to input medical events.

By Jun Ni Du, Lukas Adamek, Maxim Kryukov, Flavio Dormont, Ziv Bar-Joseph, Sven Jager, Brandon Rufino