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Paper · arXiv

Large Language Models as Unified Multimodal Learners for Clinical Prediction

Electronic health records combine free-text clinical narratives with structured measurements such as vital signs, laboratory values, and comorbidities. Yet most clinical prediction systems still rely on task-specific fusion architectures, pairing dedicated encoders for each modality with learned combination mechanisms that must be re-engineered for every new task and clinical setting. We propose a simpler alternative: convert all patient data, regardless of modality, into a single natural language sequence and fine-tune a pretrained language model end-to-end, with no architectural modification for fusion. We evaluate this approach across three clinically distinct prediction tasks: in-hosp...

AuthorsAjay Madhavan Ravichandran, Bilgin Osmandoja, Klemens Budde et al.
Primary categorycs.CL
Published16 July 2026
Last updated at source16 July 2026
cs.CLcs.AI
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