The increasing utilization of patient portals has amplified clinicians’ workloads, primarily due to the necessity of addressing detailed patient inquiries related to their health concerns. The ArchEHR-QA 2025 shared task aims to alleviate this burden by automatically generating accurate, evidence-grounded responses to patients’ questions based on their Electronic Health Records (EHRs). This paper presents a six-stage multi-agent framework specifically developed to identify essential clinical sentences for answering patient questions, leveraging large language models (LLMs). Our approach begins with OpenAI’s o3 model generating focused medical context to guide downstream reasoning. In the subsequent stages, GPT-4.1-based agents assess the relevance of individual sentences, recruit domain experts, and consolidate their judgments to identify essential information for constructing coherent, evidence-grounded responses. Our framework achieved an Overall Factuality score of 62.0 and an Overall Relevance Score of 52.9 on the development set, and corresponding scores of 58.6 and 48.8, respectively, on the test set.

Recent advancements in large language models (LLM) capable of processing extremely long texts highlight the need for a dedicated evaluation benchmark to assess their long-context capabilities. However, existing methods, like the needle-in-a-haystack test, do not effectively assess whether these models fully utilize contextual information, raising concerns about the reliability of current evaluation techniques. To thoroughly examine the effectiveness of existing benchmarks, we introduce a new metric called information coverage (IC), which quantifies the proportion of the input context necessary for answering queries. Our findings indicate that current benchmarks exhibit low IC; although the input context may be extensive, the actual usable context is often limited. To address this, we present ETHIC, a novel benchmark designed to assess LLMs’ ability to leverage the entire context. Our benchmark comprises 1,986 test instances spanning four long-context tasks with high IC scores in the domains of books, debates, medicine, and law. Our evaluations reveal significant performance drops in contemporary LLMs, highlighting a critical challenge in managing long contexts. Our benchmark is available at https://github.com/dmis-lab/ETHIC.

Recent advancements in large language models (LM) like OpenAI’s GPT-4 have shown promise in healthcare, particularly in medical question answering and clinical applications. However, their deployment raises privacy concerns and their size limits use in resource-constrained environments.Smaller open-source LMs have emerged as alternatives, but their reliability in medicine remains underexplored.This study evaluates small LMs in the medical field using the MEDIQA-CORR 2024 task, which assesses the ability of models to identify and correct errors in clinical notes. Initially, zero-shot inference and simple fine-tuning of small models resulted in poor performance. When fine-tuning with chain-of-thought (CoT) reasoning using synthetic data generated by GPT-4, their performance significantly improved. Meerkat-7B, a small LM trained with medical CoT reasoning, demonstrated notable performance gains. Our model outperforms other small non-commercial LMs and some larger models, achieving a 73.36 aggregate score on MEDIQA-CORR 2024.

Retrieval-augmented generation supports language models to strengthen their factual groundings by providing external contexts. However, language models often face challenges when given extensive information, diminishing their effectiveness in solving questions. Context compression tackles this issue by filtering out irrelevant information, but current methods still struggle in realistic scenarios where crucial information cannot be captured with a single-step approach. To overcome this limitation, we introduce CompAct, a novel framework that employs an active strategy to condense extensive documents without losing key information. Our experiments demonstrate that CompAct brings significant improvements in both performance and compression rate on multi-hop question-answering benchmarks. CompAct flexibly operates as a cost-efficient plug-in module with various off-the-shelf retrievers or readers, achieving exceptionally high compression rates (47x).