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Paper · arXiv

Ascent: An Agentic System over the Model Context Protocol for Real-World Clinical Data Analysis

Answering epidemiological questions from real-world clinical data requires medical coding, schema-aware SQL, and validation of implicit choices about populations, denominators, and time. We present Ascent, an agentic system that exposes medical coding, question answering, and cohort analysis through a shared Model Context Protocol tool surface for standardized and native schemas. We introduce EpiTrap, a dataset testing whether systems avoid recognized pharmacoepidemiological errors, and compare a fixed pipeline with agents across models and orchestrators. With capable models, agents improve accuracy over the fixed pipeline by an average of 27 and 20 percentage points on native and standar...

AuthorsAngelo Ziletti, Leonardo D'Ambrosi, Melanie Tuchardt et al.
Primary categorycs.AI
Published21 September 2026
Last updated at source21 September 2026
cs.AIcs.IR
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