Evaluating Biomedical Reranking for LLM-Based Question Answering over Longitudinal Clinical Notes
Patient-specific clinical question answering requires locating the right evidence within long, heterogeneous longitudinal clinical records in which relevant facts may be scattered across encounters, repeated in copied-forward notes, or expressed using different clinical terminology. We evaluated whether biomedical reranking can improve evidence selection and downstream answer quality in a locally deployed retrieval-augmented generation pipeline for longitudinal clinical notes. The pipeline combines PubMedBERT dense retrieval, BM25 lexical retrieval, weighted reciprocal-rank fusion, and MedCPT cross-encoder reranking. Across 1,000 open- and closed-ended question-answer pairs from a cohort ...
| Authors | Maryam Shahbaz Ali, Laura B. Strachan, Caitlin Sherman et al. |
|---|---|
| Primary category | cs.CL |
| Published | 1 October 2026 |
| Last updated at source | 1 October 2026 |
Popularity, last 2 days
0 now. Counts as reported by the source, snapshotted daily by Silytics.
Silytics shows public metadata from arXiv and links to the original. Information may be incomplete or out of date. Last refreshed 17 October 2026. Licenses and terms of the original apply to the work itself. Not financial, legal or professional advice.