WisPerMed at ArchEHR-QA 2025: A Modular, Relevance-First Approach for Grounded Question Answering on Eletronic Health Records

Jan-Henning Büns, Hendrik Damm, Tabea Pakull, Felix Nensa, Elisabeth Livingstone


Abstract
Automatically answering patient questions based on electronic health records (EHRs) requires systems that both identify relevant evidence and generate accurate, grounded responses. We present a three-part pipeline developed by WisPerMed for the ArchEHR-QA 2025 shared task. First, a fine-tuned BioClinicalBERT model classifies note sentences by their relevance using synonym-based and paraphrased data augmentation. Second, a constrained generation step uses DistilBART-MedSummary to produce faithful answers strictly limited to top-ranked evidence. Third, we align each answer sentence to its supporting evidence via BiomedBERT embeddings and ROUGE-based similarity scoring to ensure citation transparency. Our system achieved a 35.0% overall score on the hidden test set, outperforming the organizer’s baseline by 4.3 percentage points. Gains in BERTScore (+44%) and SARI (+119%) highlight substantial improvements in semantic accuracy and relevance. This modular approach demonstrates that enforcing evidence-awareness and citation grounding enhances both answer quality and trustworthiness in clinical QA systems.
Anthology ID:
2025.bionlp-share.5
Volume:
BioNLP 2025 Shared Tasks
Month:
August
Year:
2025
Address:
Vienna, Austria
Editors:
Sarvesh Soni, Dina Demner-Fushman
Venues:
BioNLP | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
41–49
Language:
URL:
https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bionlp-share.5/
DOI:
Bibkey:
Cite (ACL):
Jan-Henning Büns, Hendrik Damm, Tabea Pakull, Felix Nensa, and Elisabeth Livingstone. 2025. WisPerMed at ArchEHR-QA 2025: A Modular, Relevance-First Approach for Grounded Question Answering on Eletronic Health Records. In BioNLP 2025 Shared Tasks, pages 41–49, Vienna, Austria. Association for Computational Linguistics.
Cite (Informal):
WisPerMed at ArchEHR-QA 2025: A Modular, Relevance-First Approach for Grounded Question Answering on Eletronic Health Records (Büns et al., BioNLP 2025)
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https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bionlp-share.5.pdf