Richard A. A. Jonker

Richard A. A. Jonker, Alexander Christiansen, Alexandros Maniatis et al.

This paper presents the joint participation of the BIT.UA and AAUBS groups in the ArchEHR-QA 2026 shared task, which focuses on clinical question answering and evidence grounding in a low-resource setting. Due to the absence of training data and the strict data privacy constraints inherent to the healthcare domain (e.g. GDPR), we investigate the capabilities of Large Language Models (LLMs) without weight updates. We evaluate several state-of-the-art proprietary models and locally deployable open-source alternatives using various prompt engineering strategies, including task decomposition, Chain-of-Thought, and in-context learning. Furthermore, we explore majority voting and LLM-as-a-judge ensembling techniques to maximize predictive robustness. Our results demonstrate that while proprietary models exhibit strong resilience to prompt variations, domain-adapted open-source models (such as MedGemma 3 27B) achieve highly competitive performance when paired with the right prompt. Overall, our prompt-based approach proved highly effective, securing 1st place in Subtask 4 (evidence citation alignment) and 3rd place in Subtask 3 (patient-friendly answer generation). All code, results, and prompts are available on our GitHub repository: https://github.com/bioinformatics-ua/ArchEHR-QA-2026.

Richard A. A. Jonker, Bárbara Maria Ribeiro de Abreu Martins, Sérgio Matos

This paper presents a principled and scalable framework for systematically generating complex Question Answering (QA) data. In the core of this framework is a graphlet-anchored generation process, where small subgraphs from a Knowledge Graph (KG) are used in a structured prompt to control the complexity and ensure the factual grounding of questions generated by Large Language Models. The first instantiation of this framework is BioGraphletQA, a new biomedical KGQA dataset of 119,856 QA pairs. Each entry is grounded in a graphlet of up to five nodes from the OREGANO KG, with most of the pairs being enriched with relevant document snippets from PubMed. We start by demonstrating the framework's value and the dataset's quality through evaluation by a domain expert on 106 QA pairs, confirming the high scientific validity and complexity of the generated data. Secondly, we establish its practical utility by showing that augmenting downstream benchmarks with our data improves accuracy on PubMedQA from 49.2% to 68.5% in a low-resource setting, and on MedQA from a 41.4% baseline to 44.8% in a full-resource setting. Our framework provides a robust and generalizable solution for creating critical resources to advance complex QA tasks, including MCQA and KGQA. All resources supporting this work, including the dataset (https://zenodo.org/records/17381119) and framework code (https://github.com/ieeta-pt/BioGraphletQA), are publicly available to facilitate use, reproducibility and extension.