Challenge: Clinical notes have a long time span over multiple long documents.
Approach: They propose a framework to analyze clinical notes with high predictive power . they propose to combine different types of notes to improve performance .
Outcome: The proposed framework could be used to extract information from clinical notes . it shows that the sample size can be optimized for large contexts .

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SEGMENT+: Long Text Processing with Short-Context Language Models (2024.emnlp-main)

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Challenge: Existing frameworks that increase context window do not guarantee robust performance across long input tasks.
Approach: They propose a framework that enables language models to handle extended inputs within limited context windows efficiently.
Outcome: The framework improves performance on long-document question-answering and Needle-in-a-Haystack tasks.
MIMICause: Representation and automatic extraction of causal relation types from clinical notes (2022.findings-acl)

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Challenge: Extracted causal information from clinical notes can be combined with structured EHR data such as demographics, diagnoses, and medications.
Approach: They propose to annotate clinical notes and develop an annotated corpus and provide baseline scores to identify types and direction of causal relations between a pair of biomedical concepts.
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Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction (2025.findings-emnlp)

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Challenge: Recent advances in large language models have shown potential in clinical text summarization, but their ability to handle long patient trajectories with multi-modal data spread across time remains underexplored.
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The Medical Scribe: Corpus Development and Model Performance Analyses (2020.lrec-1)

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Challenge: Existing tools to assist in clinical note generation using audio of provider-patient encounters are lacking.
Approach: They develop an annotation scheme to extract relevant clinical concepts from audio of provider-patient encounters and train a state-of-the-art tagging model.
Outcome: The proposed model is more useful than the F-scores reflect and can be used in clinical notes.
How Robust Are Large Language Models for Clinical Numeracy? An Empirical Study on Numerical Reasoning Abilities in Clinical Contexts (2026.findings-acl)

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Challenge: Existing evaluations of Large Language Models for clinical numerical reasoning provide limited operation-level coverage and limited robustness of numerical understanding across clinical note formats.
Approach: They propose a benchmarking tool that evaluates four main types of clinical numeracy . they present longitudinal MIMIC-IV vital-sign records in three semantically equivalent representations .
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CLIP: A Dataset for Extracting Action Items for Physicians from Hospital Discharge Notes (2021.acl-long)

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Challenge: Continuity of care is crucial to ensuring positive health outcomes for patients discharged from an inpatient hospital setting.
Approach: They propose to annotate clinical action items from a dataset of medical notes annotated by physicians and extract them as multi-aspect extractive summarization.
Outcome: The proposed dataset is annotated by physicians and covers 718 documents representing 100K sentences.
Data Drift in Clinical Outcome Prediction from Admission Notes (2024.lrec-main)

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Challenge: a pivotal dataset for clinical NLP research was released in 2016 . public access to such datasets is limited due to privacy and ethical concerns .
Approach: They propose a novel clinical outcome prediction dataset based on MIMIC-IV . they provide initial insights into the performance of models trained on MIDIC-III .
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Modelling Temporal Document Sequences for Clinical ICD Coding (2023.eacl-main)

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Challenge: Existing studies on the ICD coding task focus on extracting codes from the discharge summary, but there is potential to automate the task by identifying relevant information from clinical notes.
Approach: They propose a hierarchical transformer architecture that uses text across the entire sequence of clinical notes in each hospital stay for ICD coding.
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Towards Adapting Open-Source Large Language Models for Expert-Level Clinical Note Generation (2025.findings-acl)

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Challenge: Proprietary Large Language Models (LLMs) have demonstrated promising capabilities in clinical text summarization tasks.
Approach: They propose a domain- and task-specific adaptation process for an open-source LLaMA-2 model . LLama-2 can generate high-quality clinical notes from outpatient patient-doctor dialogues .
Outcome: The proposed model can generate clinical notes comparable to those authored by physicians.
How to leverage the multimodal EHR data for better medical prediction? (2021.emnlp-main)

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Challenge: Using deep learning to improve healthcare is challenging due to the complexity of EHR data.
Approach: They propose a method to integrate clinical notes from EHR and combine them with different data to improve prediction performance.
Outcome: The proposed model outperforms the state-of-the-art method without clinical notes on two prediction tasks.

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