arXiv Computation and Language

ClinTraceBench: Source-Verifiable Longitudinal Clinical Reasoning over EHR-Derived Dialogues

Hugging Face Trending Papers
Aug 12

The Sleeping Agent: What Gist-Based Context Compression Loses and Why

Gist-based context compression---summarising older conversation history into compact representations---is a common approach in long-horizon language model agents, yet its effect on different types of memory retrieval is poorly understood. We use Salience-Weighted Consolidation (SWC), a biologically-inspired compression framework motivated by sleep-based memory consolidation, as a diagnostic probe to study when gist compression helps and when it hurts.

arXiv AI
Oct 12

LongHarness: Advancing Agentic Reasoning over 100M-Token Corpora via Stateful Evidence Management

LongHarness is a model‑agnostic harness that explicitly manages the interaction between acquired evidence and evolving conclusions for long‑context reasoning over corpora larger than a model’s context window. Its Evidence‑Conclusion Coevolution mechanism uses unresolved conclusions to steer evidence retrieval, while new evidence refines those conclusions, and its Evidence Lifecycle Management keeps evidence current and traceable. Evaluations on OfficeQA Pro, AA‑LCR, and LongBench v2 show substantial performance gains over direct reasoning and state‑of‑the‑art agent harnesses, with GLM‑5.3‑Flash exact match improving from 15.8% to 60.2% on V1 and from 4.4% to 61.1% on V2.

By Songtao Huang, Zhijie Zhong, Xiaohan He, Shuaiyu Zhang, Zhiyin Yu, Li Kang, Heng Zhou, Yutao Fan, Xiangchao Yan, Bo Zhang, Shiyang Feng
Hugging Face Trending Papers
Oct 5

Auditable Clinical Timeline Reconstruction with Provenance-Aware Evidence Graphs

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 Machine Learning
Oct 3

GLoC-EHR: Evidence-Cited Clinical Reasoning over Global Context and Local EHR Events

GLoC-EHR is a multimodal language model that processes electronic health records by combining a fixed-size global memory of the entire patient trajectory with a local memory of selected events. It generates hospital-course summaries and masked concept descriptions, then is fine‑tuned to cite evidence before answering clinical questions, using group relative policy optimization to reward correct, evidence‑supported responses. On MIMIC‑IV outcome tasks, GLoC‑EHR achieves the highest macro AUROC among compared models when answering directly, and maintains strong performance with evidence‑cited reasoning while adding distinct supported findings from the local memory.

By Chaiho Shin, Kwangsoo Kim
arXiv Computation and Language
Oct 9

From Retrieval to Reconstruction: Constructing Evolvable Cognitive Memory for Long-Term Dialogue

The paper introduces CogMem, a cognitive memory architecture for long‑term dialogue agents that uses a PEC$^2$F graph schema to separate claims, facts, and events. Dialogue turns are incrementally turned into provenance‑aware graph records, consolidated into higher‑level facts, and reconciled into temporally scoped claim views when conflicting updates arise. Retrieval is performed by a rule‑based controller that applies deterministic graph operators—anchoring, traversal, intersection, and evidence grounding—guided by LLM intent parsing, achieving strong performance on multi‑hop, temporal, and knowledge‑update tasks in LoCoMo and LongMemEval benchmarks.

By Zirui Liao, Zhengxian Wu, Zhuohong Chen, Yunyao Yu, Xiaoyu Liu, Yifan Xu, Haoqian Wang
arXiv Computation and Language
Sep 22

LLMs Anchor on Chief Complaint and Fail to Integrate Evidence in Sequential Clinical Triage

The study evaluates large language models (LLMs) on sequential emergency department triage, where acuity labels are predicted from progressively longer nurse‑patient conversations. Six LLMs were tested at five checkpoints on simulated and physician‑authored dialogues, showing a decline from moderate‑to‑substantial agreement on full records to only fair‑to‑moderate agreement at each checkpoint. The models consistently anchor on chief complaint exchanges and fail to integrate later evidence, yielding low agreement with clinicians (QWK 0.295 vs. 0.887‑0.929) and concentrating predictions on ESI‑2 and ESI‑3. whyItMatters":"The findings reveal that LLMs, despite strong offline performance, cannot reliably handle the sequential nature of real‑time triage, highlighting a critical gap for safe deployment in emergency settings."

By Dipankar Srirag, Haokai Zhao, Ashutosh Kumar, Eleanor Hopper, Michael Dalton, Quoc Dung Nguyen, Aditya Joshi, Salil S. Kanhere, Padmanesan Narasimhan