Nicholas Derby

Maya Kruse, Shiyue Hu, Nicholas Derby et al.

Recent advances in large language models (LLMs) have shown potential in clinical text summarization, but their ability to handle long patient trajectories with multi-modal data spread across time remains underexplored. This study systematically evaluates several state-of-the-art open-source LLMs, their Retrieval Augmented Generation (RAG) variants and chain-of-thought (CoT) prompting on long-context clinical summarization and prediction. We examine their ability to synthesize structured and unstructured Electronic Health Records (EHR) data while reasoning over temporal coherence, by re-engineering existing tasks, including discharge summarization and diagnosis prediction from two publicly available EHR datasets. Our results indicate that long context windows improve input integration but do not consistently enhance clinical reasoning, and LLMs are still struggling with temporal progression and rare disease prediction. While RAG shows improvements in hallucination in some cases, it does not fully address these limitations. Our work fills the gap in long clinical text summarization, establishing a foundation for evaluating LLMs with multi-modal data and temporal reasoning.

Claire Benét Post, Paul Bontempo, August Milliken et al.

To fully capture the meaning of a sentence, semantic representations should encode aspect, which describes the internal temporal structure of events. In graph-based meaning representation frameworks such as Uniform Meaning Representations (UMR), aspect lets one know how events unfold over time, including distinctions such as states, activities, and completed events. Despite its importance, aspect remains sparsely annotated across semantic meaning representation frameworks. This has, in turn, hindered not only current manual annotation, but also the development of automatic systems capable of predicting aspectual information. In this paper, we introduce a new dataset of English sentences annotated with UMR aspect labels over Abstract Meaning Representation (AMR) graphs that lack the feature. We describe the annotation scheme and guidelines used to label eventive predicates according to the UMR aspect lattice, as well as the annotation pipeline used to ensure consistency and quality across annotators through a multi-step adjudication process. To demonstrate the utility of our dataset for future automation, we present baseline experiments using three modeling approaches. Our results establish initial benchmarks for automatic UMR aspect prediction and provide a foundation for integrating aspect into semantic meaning representations more broadly.