In this work, we propose our top-ranking (2nd place) pipeline for the generation of discharge summary subsections as a part of the BioNLP 2024 Shared Task 2: “Discharge Me!”. We evaluate both encoder-decoder and state-of-the-art decoder-only language models on the generation of two key sections of the discharge summary. To evaluate the ability of NLP methods to further alleviate the documentation burden on physicians, we also design a novel pipeline to generate the brief hospital course directly from structured information found in the EHR. Finally, we evaluate a constrained beam search approach to inject external knowledge about relevant patient problems into the text generation process. We find that a BioBART model fine-tuned on a larger fraction of the data without constrained beam search outperforms all other models.

Healthcare systems have increased patients’ exposure to their own health materials to enhance patients’ health levels, but this has been impeded by patients’ lack of understanding of their health material. We address potential barriers to their comprehension by developing a context-aware text simplification system for health material. Given the scarcity of annotated parallel corpora in healthcare domains, we design our system to be independent of a parallel corpus, complementing the availability of data-driven neural methods when such corpora are available. Our system compensates for the lack of direct supervision using a biomedical lexical database: Unified Medical Language System (UMLS). Compared to a competitive prior approach that uses a tool for identifying biomedical concepts and a consumer-directed vocabulary list, we empirically show the enhanced accuracy of our system due to improved handling of ambiguous terms. We also show the enhanced accuracy of our system over directly-supervised neural methods in this low-resource setting. Finally, we show the direct impact of our system on laypeople’s comprehension of health material via a human subjects’ study (n=160).