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Paper · arXiv

RASPER: Reward-Aligned Summarization of Clinical Notes for EHR Outcome Prediction

Unstructured discharge notes in Electronic Health Records (EHRs) often carry signal complementary to structured medical codes, holding patient-specific evidence that standardized cohort-level codes alone cannot capture. However, this evidence in notes is frequently buried in lengthy, noisy text that is not intentionally written with any specific clinical prediction in mind. Summarization is an obvious mitigation, but generic summaries, tuned for fluency rather than the outcome, routinely omit decisive evidence while retaining plausible but uninformative detail. To this end, we propose RASPER, a Reward-Aligned Summarizer for Prediction in EHR, that optimizes note summarization directly aga...

AuthorsArya Hadizadeh Moghaddam, Mohsen Nayebi Kerdabadi, Chen Chen et al.
Primary categorycs.AI
Published2 October 2026
Last updated at source2 October 2026
cs.AI
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