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Paper · arXiv

Text Knows What, Tables Know When: Clinical Timeline Reconstruction via Retrieval-Augmented Multimodal Alignment

Clinical language models increasingly operate over electronic health records (EHRs), yet patient records are not stored as temporally grounded trajectories. Clinical notes describe symptoms, assessments, and disease progression, but often compress or narratively reorder events. Structured EHR rows provide timestamps for labs, medications, vitals, and procedures, but capture only part of the clinical story. We formulate clinical timeline reconstruction as retrieval-augmented temporal grounding: constructing a patient trajectory by using narrative text for event semantics and structured rows as partial temporal evidence. We introduce a scaffolded workflow that extracts central narrative eve...

AuthorsSayantan Kumar, Shahriar Noroozizadeh, Juyong Kim et al.
Primary categorycs.CL
Published14 May 2026
Last updated at source5 October 2026
cs.CLcs.AIcs.LGstat.ML
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