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
arXiv:2607. 13940v1 Announce Type: new Abstract: Personal health management unfolds over repeated encounters, yet most health AI systems treat each request in isolation.
By Haoran Li, Jiebi Deng, Tong Jin, Jinghong Han, Yuxin Wang, Zexin Wang, Qingyi Si, Weikang Gong, Xiahai Zhuang, Jia You, Wei Cheng, Jianfeng Feng, Hongcheng Guo
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
arXiv:2609.17223v1 Announce Type: new
Abstract: Medical AI models hold immense potential to improve patient outcomes, but they are also known to unintentionally memorise individual records from their...
By Moritz A. Knolle, Martin J. Menten, Laurin Lux, M\'elanie Roschewitz, Emma A. M. Stanley, Georgios Kaissis, Daniel Rueckert, Ben Glocker
arXiv:2606. 18829v1 Announce Type: new Abstract: Memory benchmarks for LLM agents largely assume single-user settings, leaving shared assistants for hospitals, workplaces, campuses, and households understudied.
By Zhe Ren, Yibo Yang, Yimeng Chen, Zijun Zhao, Benshuo Fu, Zhihao Shu, Bingjie Zhang, Yangyang Xu, Dandan Guo, Shuicheng Yan
arXiv:2608.27856v1 Announce Type: new
Abstract: Recent advances in large language models are enabling autonomous clinical agents to perform increasingly complex electronic health record (EHR) modelin...
By Jun Bai, Ruilin Wang, Yue Li