arXiv AI
Oct 5

RASPER: Reward-Aligned Summarization of Clinical Notes for EHR Outcome Prediction

RASPER is a reward‑aligned summarizer that tailors the extraction of information from unstructured discharge notes to improve downstream clinical predictions. It uses a tunable LLM summarizer trained with reinforcement learning, where the reward comes from the loss of a downstream predictor, and incorporates patient‑specific context via a longitudinal encoder that soft‑prompts the summarizer with structured codes. The approach consistently outperforms strong baselines on readmission prediction and medication recommendation tasks in the MIMIC‑III and MIMIC‑IV datasets.

By Arya Hadizadeh Moghaddam, Mohsen Nayebi Kerdabadi, Chen Chen, Dongjie Wang, Zijun Yao