arXiv:2605. 18937v2 Announce Type: replace Abstract: Patient-managed Personal Health Records (PHRs) promises to empower patients to better understand their health; but information in the record is complex, potentially hindering insights.
By Rory Sayres, Kejia Chen, Ayush Jain, Matthew Thompson, Jonathan Richina, Xiang Yin, Jimmy Hu, Fan Zhang, Bob Lou, Mike Sanchez, Ines Mezerreg, Meredith Schreier, Hamsa Subramaniam, I-Ching Lee, Yugang Jia, Daniel Mcduff, Yossi Matias, Avinatan Hassidim, Dale Webster, Yun Liu, Jackie Barr, Quang Duong
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
AcuityBench is a new benchmark that tests whether language models can correctly identify the urgency of medical care needed from user presentations. It unifies five public datasets—user conversations, online forum posts, clinical vignettes, and patient portal messages—under a shared four-level acuity framework, providing 914 cases for evaluation. The benchmark supports both explicit four-way classification and free-form conversational responses, revealing that models vary widely in accuracy and that conversational formats reduce over-triage but increase under-triage, especially for high-acuity cases.
By Robin Linzmayer (Department of Computer Science, Columbia University, Department of Biomedical Informatics, Columbia University), Georgianna Lin (Department of Biomedical Informatics, Columbia University), Di Coneybeare (Department of Emergency Medicine, Columbia University Irving Medical Center), Jason Chu (Department of Emergency Medicine, Columbia University Irving Medical Center), Trudi Cloyd (Department of Emergency Medicine, Columbia University Irving Medical Center), Manish Garg (Department of Emergency Medicine, Columbia University Irving Medical Center), Miles Gordon (Department of Emergency Medicine, Columbia University Irving Medical Center), Elizabeth Hartofilis (Department of Emergency Medicine, Columbia University Irving Medical Center), Benjamin Hong (Department of Emergency Medicine, Columbia University Irving Medical Center), Ashraf Hussain (Department of Emergency Medicine, Columbia University Irving Medical Center), Eugene Y. Kim (Department of Emergency Medicine, Columbia University Irving Medical Center), Oluchi Iheagwara King (Department of Emergency Medicine, Columbia University Irving Medical Center), Ross McCormack (Department of Emergency Medicine, Columbia University Irving Medical Center), Erica Olsen (Department of Emergency Medicine, Columbia University Irving Medical Center), John K. Riggins Jr (Department of Emergency Medicine, Columbia University Irving Medical Center), Mustafa N. Rasheed (Department of Emergency Medicine, Columbia University Irving Medical Center), Dana L. Sacco (Department of Emergency Medicine, Columbia University Irving Medical Center), Vinay Saggar (Department of Emergency Medicine, Columbia University Irving Medical Center), Osman R. Sayan (Department of Emergency Medicine, Columbia University Irving Medical Center), Amit Shembekar (Department of Emergency Medicine, Columbia University Irving Medical Center), Janice Shin-Kim (Department of Emergency Medicine, Columbia University Irving Medical Center), Wendy W. Sun (Department of Emergency Medicine, Columbia University Irving Medical Center), Bernard P. Chang (Department of Emergency Medicine, Columbia University Irving Medical Center), David Kessler (Department of Emergency Medicine, Columbia University Irving Medical Center), No\'emie Elhadad (Department of Computer Science, Columbia University, Department of Biomedical Informatics, Columbia University)
arXiv:2606. 10380v1 Announce Type: cross Abstract: Real-world crisis intervention is inherently conversational, yet existing research largely focuses on static texts.
By Grace Byun, Abigail Lott, Rebecca Lipschutz, Sean T. Minton, Elizabeth A. Stinson, Jinho D. Choi
arXiv:2512. 06227v3 Announce Type: replace-cross Abstract: Real-world indicators play an important role in many Natural Language Processing (NLP) applications, such as life events for mental health analysis and risky behaviours for online safety, yet labelling such information is often costly and/or difficult due to its multi-label and dynamic nature.
By Junyu Mao, Anthony Hills, Talia Tseriotou, Maria Liakata, Aya Shamir, Dan Sayda, Dana Atzil-Slonim, Natalie Djohari, Pamela Ugwudike, Mahesan Niranjan, Stuart E. Middleton
arXiv:2606. 07237v1 Announce Type: cross Abstract: Large Language Models (LLMs) are increasingly used in healthcare for tasks such as clinical question answering, diagnosis support, and report summarization.
By Mahdi Alkaeed