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Paper · arXiv

EviGen: Predictive Evidence Scaffolding for Verifiable Clinical Rationale Generation

Longitudinal electronic health records (EHRs) capture years of patient history across notes, codes, labs, and procedures, and contain evidence needed to reason about likely clinical outcomes. However, comprehensive clinician review of these records is impractical, and LLM-based processing is costly and often unreliable, missing some relevant observations while hallucinating others. We therefore propose EviGen, a three-layer framework for verifiable clinical rationale generation that addresses these challenges. The first layer is a patient-conditioned retriever that uses learnable queries to find evidence predictive of, not just textually relevant to, a clinical outcome and ranks it by pre...

AuthorsFengnan Li, Heman Burre, Liwen Sun et al.
Primary categorycs.CL
Published16 September 2026
Last updated at source16 September 2026
cs.CL
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