Retrieval-Augmented Large Language Models for Schema-Constrained Clinical Information Extraction
Authors: A H M Rezaul Karim, Ozlem Uzuner
Summary
arXiv:2605. 15467v1 Announce Type: new Abstract: Conversational nurse-patient transcripts contain actionable observations, but converting these transcripts into structured representations at scale remains challenging.
Relevance
Read next because Retrieval-Augmented Large Language Models for Schema-Constrained Clinical Information Extraction overlaps with clean result "Language-mismatch LoRA SFT on Qwen2.5-7B leaks the trained completion language into bystander directives the model was never trained on, absent under same-language SFT (LOW confidence)", clean result "Coupling evil personas with wrong answers fails to protect Qwen2.5-7B from EM-induced alignment collapse — and the apparent capability ordering across coupling conditions is mostly eval contamination (LOW confidence)", clean result "Only continuous soft prefixes hit both EM axes at once on Qwen-2.5-7B-Instruct: discrete prompt searches split between the alignment objective and the distributional objective, and both discretizations of the soft prefix collapse (MODERATE confidence)". Matching terms: rect, correct, eval, line, extraction, full, trained, candidate. Source: arxiv cs.CL (NLP).
Abstract
arXiv:2605.15467v1 Announce Type: new Abstract: Conversational nurse-patient transcripts contain actionable observations, but converting these transcripts into structured representations at scale remains challenging. Documentation burden is substantial, with prior studies showing clinicians spend large portions of their workday on documentation and related desk work rather than direct patient care. MEDIQA-SYNUR focuses on observation extraction from conversational nurse-patient transcripts, requiring systems to normalize these narratives into a predefined schema with value-type constraints. We propose a modular retrieval-augmented generation (RAG) pipeline that uses the training set as an exemplar corpus, combines schema-constrained prompting (full schema vs. pruned candidate schema), deterministic schema-based postprocessing, and a second-pass audit, with two LLM backbones: Llama-4-Scout-17B-16E-Instruct and GPT-5.2 with corresponding embedding models for RAG. Our best configuration uses GPT-5.2 with full schema, RAG, and a second-pass auditing, achieving 80.36% F1 score. Overall, our results show that RAG consistently improves performance, while the optimal degree of schema constraint depends on the model, and second-pass auditing yields modest additional gains by correcting residual schema-adherence errors.