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Toward Relieving Clinician Burden by Automatically Generating Progress Notes using Interim Hospital Data

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arxiv 2410.12845 v1 pith:SCFRPPV3 submitted 2024-10-10 cs.CL cs.AI

classification cs.CLcs.AI
keywords progressnotesstructuredburdendatataskautomatechart
verification ladder T0 review T1 audit T2 compute T3 formal
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abstract

Regular documentation of progress notes is one of the main contributors to clinician burden. The abundance of structured chart information in medical records further exacerbates the burden, however, it also presents an opportunity to automate the generation of progress notes. In this paper, we propose a task to automate progress note generation using structured or tabular information present in electronic health records. To this end, we present a novel framework and a large dataset, ChartPNG, for the task which contains $7089$ annotation instances (each having a pair of progress notes and interim structured chart data) across $1616$ patients. We establish baselines on the dataset using large language models from general and biomedical domains. We perform both automated (where the best performing Biomistral model achieved a BERTScore F1 of $80.53$ and MEDCON score of $19.61$) and manual (where we found that the model was able to leverage relevant structured data with $76.9\%$ accuracy) analyses to identify the challenges with the proposed task and opportunities for future research.

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Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score. Full citation record

  1. CLI-RAG: A Retrieval-Augmented Framework for Clinically Structured and Context Aware Text Generation with LLMs

    cs.CL 2025-07 reject novelty 4.0 of 10

    CLI-RAG uses two-stage retrieval over hierarchically chunked EHR notes to generate SOAP progress notes, but its headline 87.7% temporal alignment result is inconsistent across models.

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