EMSDialog: Synthetic Multi-person Emergency Medical Service Dialogue Generation from Electronic Patient Care Reports via Multi-LLM Agents

Xueren Ge, Sahil Murtaza, Anthony Cortez, Homa Alemzadeh


Abstract
Conversational diagnosis prediction requires models to track evolving evidence in streaming clinical conversations and decide when to commit to a diagnosis. Existing medical dialogue corpora are largely dyadic or lack the multi-party workflow and annotations needed for this setting. We introduce an ePCR-grounded, topic-flow-based multi-agent generation pipeline that iteratively plans, generates, and self-refines dialogues with rule-based factual and topic flow checks. The pipeline yields EMSDialog, a dataset of 4,414 synthetic multi-speaker EMS conversations based on a real-world ePCR dataset, annotated with 43 diagnoses, speaker roles, and turn-level topics. Human and LLM evaluations confirm high quality and realism of EMSDialog using both utterance- and conversation-level metrics. Results show that EMSDialog-augmented training improves accuracy, timeliness, and stability of EMS conversational diagnosis prediction. Our datasets and code are publicly available at https://uva-dsa.github.io/EMSDialog
Anthology ID:
2026.findings-acl.1751
Volume:
Findings of the Association for Computational Linguistics: ACL 2026
Month:
July
Year:
2026
Address:
San Diego, California, United States
Editors:
Maria Liakata, Viviane P. Moreira, Jiajun Zhang, David Jurgens
Venue:
Findings
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Publisher:
Association for Computational Linguistics
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Pages:
35081–35110
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URL:
https://preview.aclanthology.org/ingest-acl/2026.findings-acl.1751/
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Cite (ACL):
Xueren Ge, Sahil Murtaza, Anthony Cortez, and Homa Alemzadeh. 2026. EMSDialog: Synthetic Multi-person Emergency Medical Service Dialogue Generation from Electronic Patient Care Reports via Multi-LLM Agents. In Findings of the Association for Computational Linguistics: ACL 2026, pages 35081–35110, San Diego, California, United States. Association for Computational Linguistics.
Cite (Informal):
EMSDialog: Synthetic Multi-person Emergency Medical Service Dialogue Generation from Electronic Patient Care Reports via Multi-LLM Agents (Ge et al., Findings 2026)
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