arXiv AI By Alexander Apartsin, Yehudit Aperstein

Three Generations of Healthcare IT: From the Digital Record to the Computable Care Process

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arXiv:2608. 08806v1 Announce Type: new Abstract: Objective.

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arXiv AI
Jul 7

Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation

arXiv:2607. 04907v1 Announce Type: new Abstract: Deploying Large Language Models (LLMs) in high-stakes clinical settings remains limited by structural hallucinations, weak deterministic reasoning over tabular patient data, and omissions in vector retrieval.

By Mohammed Saim Ahmed Quadri, Yunzhe Xue, Justin W. Ady, Usman Roshan
arXiv Computation and Language
Sep 25

Clinical Intent Extraction: A FHIR-Aligned Representation and the CIRCA Benchmark

The paper introduces Clinical Intent Extraction (CIE), a task that transforms fragmented clinical action annotations into complete structured records called Clinical Intent Representation (CIR). CIR decomposes each action into verb, type, coded target, timing, condition, request‑intent (aligned to HL7 FHIR) and modality, adding dimensions absent in prior datasets. By re‑expressing five heterogeneous corpora into CIR, the authors create CIRCA, a benchmark of 10,011 harmonized intents with human‑validated subsets, crosswalks, and a deterministic FHIR R4 mapper, and demonstrate that existing models perform poorly on the full task, highlighting the need for targeted development.

By Alexander Apartsin, Yehudit Aperstein
arXiv AI
Aug 12

Logit-Boundary Geometric Belief Interfaces and Sparse Sheaf-Enclave Protocols: A Self-Contained Substrate for Secure Network Electronic Health Record (EHR) Interoperability

arXiv:2608. 10300v1 Announce Type: new Abstract: Electronic health-record interoperability is a boundary problem: legacy systems, generative models, terminology services, identity systems, and human reviewers may each expose rich internal states, while operational exchange requires a narrow shared interface of typed claims, bounded uncertainty, provenance, and explicit admission or abstention.

By Alvin Spivey, Thomas Huang