Jayetri Bardhan

Jayetri Bardhan, Anthony Colas, Kirk Roberts et al.

This paper develops the first question answering dataset (DrugEHRQA) containing question-answer pairs from both structured tables and unstructured notes from a publicly available Electronic Health Record (EHR). EHRs contain patient records, stored in structured tables and unstructured clinical notes. The information in structured and unstructured EHRs is not strictly disjoint: information may be duplicated, contradictory, or provide additional context between these sources. Our dataset has medication-related queries, containing over 70,000 question-answer pairs. To provide a baseline model and help analyze the dataset, we have used a simple model (MultimodalEHRQA) which uses the predictions of a modality selection network to choose between EHR tables and clinical notes to answer the questions. This is used to direct the questions to the table-based or text-based state-of-the-art QA model. In order to address the problem arising from complex, nested queries, this is the first time Relation-Aware Schema Encoding and Linking for Text-to-SQL Parsers (RAT-SQL) has been used to test the structure of query templates in EHR data. Our goal is to provide a benchmark dataset for multi-modal QA systems, and to open up new avenues of research in improving question answering over EHR structured data by using context from unstructured clinical data.

Jayetri Bardhan, Kirk Roberts, Daisy Zhe Wang

Question Answering (QA) systems on patient-related data can assist both clinicians and patients. They can, for example, assist clinicians in decision-making and enable patients to have a better understanding of their medical history. Significant amounts of patient data are stored in Electronic Health Records (EHRs), making EHR QA an important research area. In EHR QA, the answer is obtained from the medical record of the patient. Because of the differences in data format and modality, this differs greatly from other medical QA tasks that employ medical websites or scientific papers to retrieve answers, making it critical to research EHR question answering. This study aimed to provide a methodological review of existing works on QA over EHRs. We searched for articles from January 1st, 2005 to September 30th, 2023 in four digital sources including Google Scholar, ACL Anthology, ACM Digital Library, and PubMed to collect relevant publications on EHR QA. 4111 papers were identified for our study, and after screening based on our inclusion criteria, we obtained a total of 47 papers for further study. Out of the 47 papers, 25 papers were about EHR QA datasets, and 37 papers were about EHR QA models. It was observed that QA on EHRs is relatively new and unexplored. Most of the works are fairly recent. Also, it was observed that emrQA is by far the most popular EHR QA dataset, both in terms of citations and usage in other papers. Furthermore, we identified the different models used in EHR QA along with the evaluation metrics used for these models.

Jayetri Bardhan, Bushi Xiao, Daisy Zhe Wang

Question answering (QA) over tables and text has gained much popularity over the years. Multi-hop table-text QA requires multiple hops between the table and text, making it a challenging QA task. Although several works have attempted to solve the table-text QA task, most involve training the models and requiring labeled data. In this paper, we have proposed a Retrieval Augmented Generation (RAG) based model - TTQA-RS: A break-down prompting approach for Multi-hop Table-Text Question Answering with Reasoning and Summarization. Our model uses an enhanced retriever for table-text information retrieval and uses augmented knowledge, including table-text summary with decomposed sub-questions with answers for a reasoning-based table-text QA. Using open-source language models, our model outperformed all existing prompting methods for table-text QA tasks on existing table-text QA datasets, such as HybridQA and OTT-QA's development set. Our experiments demonstrate the potential of prompt-based approaches using open-source LLMs. Additionally, by using LLaMA3-70B, our model achieved state-of-the-art performance for prompting-based methods on multi-hop table-text QA.

Bushi Xiao, Michael Bennie, Jayetri Bardhan et al.

Structural priming is a cognitive phenomenon where exposure to a particular syntactic structure increases the likelihood of producing the same structure in subsequent utterances. While humans consistently demonstrate structural priming effects across various linguistic contexts, it remains unclear whether multimodal large language models (MLLMs) exhibit similar syntactic preservation behaviors. We introduce PRISMATIC, the first multimodal structural priming dataset, which advances computational linguistics by providing a standardized benchmark for investigating syntax-vision interactions. We propose the Syntactic Preservation Index (SPI), a novel reference-free evaluation metric designed specifically to assess structural priming effects in sentence level. Using this metric, we constructed and tested models with two different multimodal encoding architectures to investigate their structural preservation capabilities. Our experimental results demonstrate that models with both encoding methods show comparable syntactic priming effects. However, only fusion-encoded models exhibit robust positive correlations between priming effects and visual similarity, suggesting a cognitive process more aligned with human psycholinguistic patterns. This work provides new insights into evaluating and understanding how syntactic information is processed in multimodal language models.