arXiv AI

LLM-Orchestrated Conformance Checking in Stroke Care Without Computer-Interpretable Guidelines

arXiv:2606. 09489v1 Announce Type: new Abstract: Objective: Conformance checking in healthcare seeks to assess whether patient care pathways adhere to clinical guidelines.

Hugging Face Trending Papers
Jun 8

LLM-Orchestrated Conformance Checking in Stroke Care Without Computer-Interpretable Guidelines

Objective: Conformance checking in healthcare seeks to assess whether patient care pathways adhere to clinical guidelines. However, its practical application often depends on the availability of formal, machine-interpretable representations of guidelines, such as Computer-Interpretable Guidelines (CIGs), which are seldom available in real-world clinical settings.

arXiv Computation and Language
Aug 28

Benchmarking Clinical Decision Pathway Adherence in Large Language Models

The paper introduces MEGA-CDP, a benchmark designed to evaluate medical large language models (LLMs) on their ability to generate clinical decision pathways (CDPs) that adhere to clinical practice guidelines. MEGA-CDP is built from 2,274 English and Chinese guidelines, producing 42,353 clinical cases with explicit reference CDPs, and supports both single-turn and multi-turn interactions. Experiments on 16 LLMs reveal that reliable guideline adherence remains difficult, underscoring the need for CDP-focused evaluation and the potential of MEGA-CDP to advance medical LLM performance.

By Nuo Chen, Xinyang Jiang, Zilong Wang, Zhifei Zhang, Xiaoye Qu, Jiajun Deng, Yulan Guo, Cairong Zhao
arXiv AI
1d ago

ALLMTS: Automated LLM-based Medical Triage System

The paper introduces ALLMTS, an automated medical triage system that uses large language models (LLMs) to execute commercially maintained telehealth guidelines rather than directly triage callers. By selecting the appropriate guideline and evaluating its triage questions, ALLMTS deterministically derives dispositions, achieving 0.95 accuracy on 566 synthetic scenarios and 0.98 on a 50-scenario benchmark, matching expert nurse performance. The system dramatically reduces over‑triage rates (to ≤0.02) while keeping under‑triage low, demonstrating the effectiveness of coupling LLMs with executable clinical guidelines.

By Micha{\l} Remigiusz Janiszewski, Artur Stopa, {\L}ukasz Lenkiewicz, Wojciech Achtelik, Bartosz Gonczarek
arXiv AI
Jun 6

PSEBench: A Controllable and Verifiable Benchmark for Evaluating LLMs in Patient Safety Event Triage

arXiv:2606. 05463v1 Announce Type: new Abstract: Patient safety event triage, determining whether a clinical event is reportable under jurisdiction-specific policy, is a high-stakes task typically performed manually by patient safety experts.

By Keqi Han, Ryan Young, Annabel Strauss, Lindsey Hughes, Katharine M. Nesbitt, Nicole Schueler, Che Ngufor, Carl Yang, Yuan Xue, Zhijun Yin
arXiv AI
Jul 7

Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation

arXiv:2607. 04907v1 Announce Type: new Abstract: Deploying Large Language Models (LLMs) in high-stakes clinical settings remains limited by structural hallucinations, weak deterministic reasoning over tabular patient data, and omissions in vector retrieval.

By Mohammed Saim Ahmed Quadri, Yunzhe Xue, Justin W. Ady, Usman Roshan
arXiv AI
Oct 16

Tool-Augmented Large Language Models for Reliable Medical Calculation from Patient Notes

The paper introduces a tool‑augmented large language model framework that improves the reliability of medical calculations derived from free‑form patient notes. It separates clinical language understanding from rule execution by retrieving calculator specifications, generating executable tools, and using a constrained extractor to map notes to calculator inputs. On the MedCalc‑Bench dataset, the method achieves 86.73% final‑answer accuracy, outperforming one‑shot prompting and fine‑tuned baselines by 24.0 and 17.27 percentage points.

By Yang Zhong, Ling Luo, Xuanlyu Zhu, Yanhua Wang, Yuanyuan Sun, Jian Wang, Hongfei Lin
arXiv Computation and Language
Sep 10

Auditable Emergency Triage for Maternal and Newborn Care in India

arXiv:2609.09356v1 Announce Type: new Abstract: At Noora Health, our nurses answer more than 50,000 medical queries per month on our WhatsApp-based service that provides caregivers with on-demand sup...

By Shobhit Jagga, Aman Dalmia, Niharika Priyadarshini, Neelima Devadas, Amrita K Prasen, Nikhil Nalin, Santhosh SJ, Sreeram Nurani Ramasubramanian, Muhammed Afeer K, Anubhav Arora
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