CLAIJul 7, 2025

LCDS: A Logic-Controlled Discharge Summary Generation System Supporting Source Attribution and Expert Review

arXiv:2507.05319v11 citationsh-index: 4Has CodeACL
Originality Incremental advance
AI Analysis

This addresses the problem of unreliable automated discharge summaries for healthcare professionals, though it is incremental as it builds on existing LLM methods.

The paper tackles hallucination and source attribution issues in LLM-generated discharge summaries by proposing LCDS, a system that uses a source mapping table and logical rules to generate more reliable summaries, achieving improved accuracy and enabling expert review.

Despite the remarkable performance of Large Language Models (LLMs) in automated discharge summary generation, they still suffer from hallucination issues, such as generating inaccurate content or fabricating information without valid sources. In addition, electronic medical records (EMRs) typically consist of long-form data, making it challenging for LLMs to attribute the generated content to the sources. To address these challenges, we propose LCDS, a Logic-Controlled Discharge Summary generation system. LCDS constructs a source mapping table by calculating textual similarity between EMRs and discharge summaries to constrain the scope of summarized content. Moreover, LCDS incorporates a comprehensive set of logical rules, enabling it to generate more reliable silver discharge summaries tailored to different clinical fields. Furthermore, LCDS supports source attribution for generated content, allowing experts to efficiently review, provide feedback, and rectify errors. The resulting golden discharge summaries are subsequently recorded for incremental fine-tuning of LLMs. Our project and demo video are in the GitHub repository https://github.com/ycycyc02/LCDS.

Foundations

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