arXiv:2606. 15449v1 Announce Type: cross Abstract: Electronic prior authorization workflows require FHIR Questionnaire items to carry LOINC codes, yet most items in the HL7 Da Vinci CDS-Library lack these bindings.
By Maxim Gorshkov
arXiv:2609.14825v1 Announce Type: cross
Abstract: Large language models (LLMs) are often deemed unsafe for clinical question answering because of their tendency to hallucinate. Retrieval augmentation...
By Zeyu Dong, Benjamin Wang, Joyee W. Jin
The paper introduces a penalty‑aware evaluation framework for Retrieval‑Augmented Generation (RAG) systems that uses asymmetric scoring, knowledge‑gap canaries, and a failure‑attribution pipeline. Applying this framework to three commercial RAG products and a baseline on SimpleQA‑Verified, the authors find that while overall accuracy is similar across systems, canary violation rates vary dramatically, showing that systems differ more in when they answer than in what they answer. The study demonstrates that penalty‑aware scoring can reorder system rankings and is robust across different penalty settings.
By Alden Do Rosario, Hussein Younes, Felipe Pires
arXiv:2609.05637v2 Announce Type: replace
Abstract: A popular way to improve Retrieval-Augmented Generation (RAG) is to rewrite the user's question into several variants and search with all of them....
By Sara Shanian, Xiaoqin Yi, Pavlo Ruban, Kurt MacDonald
The paper investigates whether the object selected in a grounded language‑model pipeline actually reaches the reader, a failure that can break the handoff between stages. By auditing 600 HybridQA questions across three selector families, the authors find that exact key lookup and title matching recover the selected object in all 1,463 resolvable records, but body‑only BM25 omits it in 26.6% of cases at cutoff five, while hybrid retrieval with reranking omits it only 1.0%. The study also shows that misalignment between selected and retrieved objects can reduce exact match scores by up to 31 points, and introduces the Returned‑Object Profile (ROP) as a tool for reproducible auditing.
By Siddharth Vohra, Runmin Jiang, Xiaomo Li, Min Xu
The paper identifies a new problem in clinical natural language processing called the clinical lost‑in‑the‑middle (CLitM) effect, where large language models perform poorly on information located near the center of long electronic health record (EHR) documents. Using the MedAlign dataset, the authors quantify a 21.9‑percentage‑point accuracy gap across 2,196 instruction‑response pairs and six models, showing that most critical facts lie in the CLitM trough. They propose Query‑Conditioned Clinical Suppression (QCCS), a lightweight context‑selection gate that outperforms traditional retrieval methods (BM25, dense retrieval, cross‑encoder reranking) on a held‑out set of 83 instructions, achieving up to 25.3% accuracy for middle‑position queries.
whyItMatters":"The study demonstrates that standard retrieval strategies fail to reliably surface central clinical information, and that a query‑aligned selection mechanism can substantially improve model performance on critical EHR data."
By Sanjay Basu