DIMAS-OMOP: A Deliberative Intelligence-Based Multi-Agent System for Chinese Medical Text Standardization toward OMOP

Hanlin Lv, Xiao Wang, Kesong Wu, Lei Li, Lei Wang


Abstract
Standardizing Chinese clinical imaging reports within the Observational Medical Outcomes Partnership (OMOP) framework is hindered by linguistic complexity and output inconsistency in existing methods. We propose DIMAS-OMOP, a Deliberative Intelligence-based Multi-Agent System designed for high-fidelity medical concept mapping toward OMOP standardization. Moving beyond single-model architectures, DIMAS-OMOP employs a hybrid three-stage workflow that integrates traditional natural language processing modules with selective Large Language Model reasoning and Retrieval-Augmented Generation. The core innovation lies in a hierarchical six-agent proposer-skeptic deliberation mechanism, complemented by a dynamic concept resolution approach and a four-dimensional quality control framework. Experimental results on 1,250 imaging reports demonstrate that DIMAS-OMOP achieves 95.2% mapping accuracy, significantly outperforming rule-based methods (+21.8 percentage points) and single-AI baselines (+8.1 percentage points). The system maintains a throughput of 1,200 reports/hour, with the multi-agent deliberation stage alone contributing an 8.9% relative accuracy gain. Furthermore, pilot deployment shows a 160.6% return on investment and a 31.5% increase in workflow efficiency. This study provides a novel, robust methodology for integrating unstructured non-English clinical data into the global Observational Health Data Sciences and Informatics (OHDSI) ecosystem through deliberative intelligence.
Anthology ID:
2026.mellm-1.10
Volume:
Proceedings of the 1st Workshop on Multilinguality in the Era of Large Language Models (MeLLM 2026)
Month:
July
Year:
2026
Address:
San Diego, United States
Editors:
Kaiyu Huang, Fengran Mo, Pinzhen Chen, Meng Jiang
Venues:
MeLLM | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
108–118
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URL:
https://preview.aclanthology.org/ingest-acl-workshops/2026.mellm-1.10/
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Bibkey:
Cite (ACL):
Hanlin Lv, Xiao Wang, Kesong Wu, Lei Li, and Lei Wang. 2026. DIMAS-OMOP: A Deliberative Intelligence-Based Multi-Agent System for Chinese Medical Text Standardization toward OMOP. In Proceedings of the 1st Workshop on Multilinguality in the Era of Large Language Models (MeLLM 2026), pages 108–118, San Diego, United States. Association for Computational Linguistics.
Cite (Informal):
DIMAS-OMOP: A Deliberative Intelligence-Based Multi-Agent System for Chinese Medical Text Standardization toward OMOP (Lv et al., MeLLM 2026)
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https://preview.aclanthology.org/ingest-acl-workshops/2026.mellm-1.10.pdf