Fine-tuned small LLMs are claimed to outperform GPT-4 on synthetic FHIR question answering, but the benchmark is weakened by GPT-4-generated ground truth and likely train/test leakage.
https://www.cms.gov/priorities/key-initiatives/ burden-reduction/interoperability/policies-and-regulations/ cms-interoperability-and-patient-access-final-rule-cms-9115-f
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Question Answering on Patient Medical Records with Private Fine-Tuned LLMs
Fine-tuned small LLMs are claimed to outperform GPT-4 on synthetic FHIR question answering, but the benchmark is weakened by GPT-4-generated ground truth and likely train/test leakage.