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Playing Along: Learning a Double-Agent Defender for Belief Steering via Theory of Mind RPA-Check: A Multi-Stage Automated Framework for Evaluating Dynamic LLM-based Role-Playing Agents A Triadic Suffix Tokenization Scheme for Numerical Reasoning Hidden Measurement Error in LLM Pipelines Distorts Annotation, Evaluation, and Benchmarking Synthius-Mem: Brain-Inspired Hallucination-Resistant Persona Memory Achieving 94.4% Memory Accuracy and 99.6% Adversarial Robustness on LoCoMo Time is Not a Label: Continuous Phase Rotation for Temporal Knowledge Graphs and Agentic Memory NovBench: Evaluating Large Language Models on Academic Paper Novelty Assessment Policy Split: Incentivizing Dual-Mode Exploration in LLM Reinforcement with Dual-Mode Entropy Regularization METER: Evaluating Multi-Level Contextual Causal Reasoning in Large Language Models Think Before you Write: QA-Guided Reasoning for Character Descriptions in Books METRO: Towards Strategy Induction from Expert Dialogue Transcripts for Non-collaborative Dialogues Retrieval as Generation: A Unified Framework with Self-Triggered Information Planning Do LLMs Know Tool Irrelevance? Demystifying Structural Alignment Bias in Tool Invocations Enhancing Multimodal Large Language Models for Ancient Chinese Character Evolution Analysis via Glyph-Driven Fine-Tuning Polyglot Teachers: Evaluating Language Models for Multilingual Synthetic Data Generation Exploring Knowledge Conflicts for Faithful LLM Reasoning: Benchmark and Method CocoaBench: Evaluating Unified Digital Agents in the Wild MathAgent: Adversarial Evolution of Constraint Graphs for Mathematical Reasoning Data Synthesis Evaluating Memory Capability in Continuous Lifelog Scenario How Robust Are Large Language Models for Clinical Numeracy? An Empirical Study on Numerical Reasoning Abilities in Clinical Contexts Efficient Training for Cross-lingual Speech Language Models Shared Emotion Geometry Across Small Language Models: A Cross-Architecture Study of Representation, Behavior, and Methodological Confounds A Systematic Analysis of the Impact of Persona Steering on LLM Capabilities Uncertainty-Aware Web-Conditioned Scientific Fact-Checking When Valid Signals Fail: Regime Boundaries Between LLM Features and RL Trading Policies When Verification Fails: How Compositionally Infeasible Claims Escape Rejection Mem$^2$Evolve: Towards Self-Evolving Agents via Co-Evolutionary Capability Expansion and Experience Distillation AOP-Smart: A RAG-Enhanced Large Language Model Framework for Adverse Outcome Pathway Analysis OccuBench: Evaluating AI Agents on Real-World Professional Tasks via Language Environment Simulation Advancing Polish Language Modeling through Tokenizer Optimization in the Bielik v3 7B and 11B Series
DENSE: Longitudinal Progress Note Generation with Tempora...
Garapati Keerthana, Manik Gupta · 2025-07-19 · via cs.CL updates on arXiv.org

Progress notes are among the most clinically meaningful artifacts in an Electronic Health Record (EHR), offering temporally grounded insights into a patient's evolving condition, treatments, and care decisions. Despite their importance, they are severely underrepresented in large-scale EHR datasets. For instance, in the widely used Medical Information Mart for Intensive Care III (MIMIC-III) dataset, only about $8.56\%$ of hospital visits include progress notes, leaving gaps in longitudinal patient narratives. In contrast, the dataset contains a diverse array of other note types, each capturing different aspects of care. We present DENSE (Documenting Evolving Progress Notes from Scattered Evidence), a system designed to align with clinical documentation workflows by simulating how physicians reference past encounters while drafting progress notes. The system introduces a fine-grained note categorization and a temporal alignment mechanism that organizes heterogeneous notes across visits into structured, chronological inputs. At its core, DENSE leverages a clinically informed retrieval strategy to identify temporally and semantically relevant content from both current and prior visits. This retrieved evidence is used to prompt a large language model (LLM) to generate clinically coherent and temporally aware progress notes. We evaluate DENSE on a curated cohort of patients with multiple visits and complete progress note documentation. The generated notes demonstrate strong longitudinal fidelity, achieving a temporal alignment ratio of $1.089$, surpassing the continuity observed in original notes. By restoring narrative coherence across fragmented documentation, our system supports improved downstream tasks such as summarization, predictive modeling, and clinical decision support, offering a scalable solution for LLM-driven note synthesis in real-world healthcare settings.