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Paper · arXiv

Training Large Language Models to Predict Clinical Events

Longitudinal clinical notes contain rich evidence of how patients evolve over time, but converting this signal into training supervision for clinical prediction remains challenging. We extend Foresight Learning to clinical prediction by converting time-ordered MIMIC-III notes into examples consisting of past patient context, a natural-language question about a possible future event, and a label resolved from later documentation. This process yields 6,900 prediction examples from 702 admissions across medications, procedures, organ support, microbiology, and mortality. A small LoRA adapter trained on these examples improves over the prompted base model, reducing expected calibration error ...

AuthorsBenjamin Turtel, Paul Wilczewski, Kris Skotheim
Primary categorycs.LG
Published12 May 2026
Last updated at source12 May 2026
cs.LGcs.AIcs.CL
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