Patient2Paper at #SMM4H-HeaRD 2026: Retrieval-Augmented Few-Shot Generation for Clinical Note Synthesis

Ioan-Tudor-Alexandru Anghel, Timotei Andrei, Comârdici Marian Bogdan, Carina Sâicu


Abstract
We present a retrieval-augmented few-shot system for the MedSynth Dial2Note shared task at SMM4H-HEARD 2026, placing 3rd on the official leaderboard (0.51 avg). Across 28 configurations, we find that retrieval design (hybrid BM25 + medical-domain dense fused via RRF) and prompt presentation format (few-shot examples as conversation turns) are the primary quality drivers, while model scale has surprisingly limited impact: Llama 3.2:3B, Llama 3.1:8B and GPT-4o mini remain within a narrow band on our locally computed scores. Our final submission used GPT-4o mini with k=3 few-shot examples retrieved by RRF over BioLORD-2023 embeddings. We report a full ablation, including negative results, to show where the gains come from and where further engineering stops paying off.
Anthology ID:
2026.smm4h-1.11
Volume:
Proceedings of the 11th Social Media Mining for Health Research and Applications (SMM4H-HeaRD 2026) Workshop and Shared Tasks
Month:
July
Year:
2026
Address:
San Diego, United States
Editors:
Guillermo Lopez-Garcia, Graciela Gonzalez-Hernandez
Venues:
SMM4H | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
61–66
Language:
URL:
https://preview.aclanthology.org/ingest-acl-workshops/2026.smm4h-1.11/
DOI:
Bibkey:
Cite (ACL):
Ioan-Tudor-Alexandru Anghel, Timotei Andrei, Comârdici Marian Bogdan, and Carina Sâicu. 2026. Patient2Paper at #SMM4H-HeaRD 2026: Retrieval-Augmented Few-Shot Generation for Clinical Note Synthesis. In Proceedings of the 11th Social Media Mining for Health Research and Applications (SMM4H-HeaRD 2026) Workshop and Shared Tasks, pages 61–66, San Diego, United States. Association for Computational Linguistics.
Cite (Informal):
Patient2Paper at #SMM4H-HeaRD 2026: Retrieval-Augmented Few-Shot Generation for Clinical Note Synthesis (Anghel et al., SMM4H 2026)
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PDF:
https://preview.aclanthology.org/ingest-acl-workshops/2026.smm4h-1.11.pdf