Discharge summaries are critical documents for continuity of care, yet their manual creation imposes significant burdens on clinical staff. This systematic literature review examines current approaches to automatic generation of discharge summaries using Natural Language Processing (NLP) and Large Language Models (LLMs). Following the Kitchenham guidelines for systematic reviews in software engineering, we searched Scopus and PubMed databases for studies published between 2023 and 2026, identifying 9 primary studies from an initial pool of 102 papers. Our analysis reveals that GPT-4 and its variants dominate current research (appearing in 6 of 9 studies), while open-source alternatives like LLaMA show promise for privacy-preserving deployments. Evaluation primarily relies on automatic metrics (ROUGE, BLEU) combined with human expert assessment. Key challenges include hallucination rates ranging from 33% to 64%, information omission, integration with Electronic Health Record (EHR) systems, and context window limitations. Studies addressing factuality employ human-in-the-loop validation, prompt engineering techniques, and knowledge graph-based correction mechanisms. Despite these challenges, recent implementations demonstrate clinical feasibility, with one study achieving a 94.35% System Usability Score. This review provides a comprehensive synthesis of the state-of-the-art and identifies opportunities for future research in this rapidly evolving field.

Medical discharge reports frequently contain highly technical language that creates significant communication barriers between healthcare professionals and patients, potentially compromising treatment adherence and post-discharge care quality. In this paper, we present SimpliMED, a modular system designed to automatically simplify cardiology discharge reports using Large Language Models (LLMs) and advanced Natural Language Processing techniques (NLP). Our architecture integrates section-based preprocessing with specialized prompts, explicit handling of medical abbreviations, and therapeutic explanations of medications to enhance accessibility. We evaluate our system using a corpus of 307 anonymized cardiology discharge reports from a Spanish medical center. For abbreviation detection, our fine-tuned Small Language Model (SLM) achieves an F1-score of 0.90, significantly outperforming regex-based approaches (F1: 0.67). For medication recognition, we achieve F1-scores of 0.91 for commercial names and 0.70 for active principles. We also contribute a therapeutic dictionary containing 14,611 medications with patient-friendly explanations extracted from the Spanish Agency of Medicines. Expert evaluation by two cardiologists yields an overall quality score of 75%, with highest performance for admission reason (91%) and current illness (75%) sections. While results demonstrate the potential of LLM-based medical text simplification for Spanish clinical language, we identify areas requiring further development before clinical deployment.

This paper presents an overview of the Shared Task organized in the First Workshop on Multilingual Counterspeech Generation at COLING 2025. While interest in automatic approaches to Counterspeech generation has been steadily growing, the large majority of the published experimental work has been carried out for English. This is due to the scarcity of both non-English manually curated training data and to the crushing predominance of English in the generative Large Language Models (LLMs) ecosystem. The task’s goal is to promote and encourage research on Counterspeech generation in a multilingual setting (Basque, English, Italian, and Spanish) potentially leveraging background knowledge provided in the proposed dataset. The task attracted 11 participants, 9 of whom presented a paper describing their systems. Together with the task, we introduce a new multilingual counterspeech dataset with 2384 triplets of hate speech, counterspeech, and related background knowledge covering 4 languages. The dataset is available at: https://huggingface.co/datasets/LanD-FBK/ML_MTCONAN_KN.

This paper describes the automated generation of CounterNarratives (CNs) for Hate Speech (HS) in Spanish using GPT-based models. Our primary objective is to evaluate the performance of these models in comparison to human capabilities. For this purpose, the English CONAN Multitarget corpus is taken as a starting point and we use the DeepL API to automatically translate into Spanish. Two GPT-based models, GPT-3 and GPT-4, are applied to the HS segment through a few-shot prompting strategy to generate a new CN. As a consequence of our research, we have created a high quality corpus in Spanish that includes the original HS-CN pairs translated into Spanish, in addition to the CNs generated automatically with the GPT models and that have been evaluated manually. The resulting CONAN-MT-SP corpus and its evaluation will be made available to the research community, representing the most extensive linguistic resource of CNs in Spanish to date. The results demonstrate that, although the effectiveness of GPT-4 outperforms GPT-3, both models can be used as systems to automatically generate CNs to combat the HS. Moreover, these models consistently outperform human performance in most instances.

An effective disclosure of scientific knowledge and advancements to the general public is often hindered by the complexity of the technical language used in research which often results very difficult, if not impossible, for non-experts to understand. In this paper we present the approach developed by the SINAI team as the result of our participation in BioLaySumm shared task hosted by the BioNLP workshop at ACL 2024. Our approach stems from the experimentation we performed in order to test the ability of state-of-the-art pre-trained large language models, namely GPT 3.5, GPT 4 and Llama-3, to tackle this task in a few-shot manner. In order to improve this baseline, we opted for fine-tuning Llama-3 by applying parameter-efficient methodologies. The best performing system which resulted from applying self-play fine tuning method which allows the model to improve while learning to distinguish between its own generations from the previous step from the gold standard summaries. This approach achieved 0.4205 ROUGE-1 score and 0.8583 BERTScore.

In this paper we present SHARE, a new lexical resource with 10,125 offensive terms and expressions collected from Spanish speakers. We retrieve this vocabulary using an existing chatbot developed to engage a conversation with users and collect insults via Telegram, named Fiero. This vocabulary has been manually labeled by five annotators obtaining a kappa coefficient agreement of 78.8%. In addition, we leverage the lexicon to release the first corpus in Spanish for offensive span identification research named OffendES_spans. Finally, we show the utility of our resource as an interpretability tool to explain why a comment may be considered offensive.

Within textual emotion classification, the set of relevant labels depends on the domain and application scenario and might not be known at the time of model development. This conflicts with the classical paradigm of supervised learning in which the labels need to be predefined. A solution to obtain a model with a flexible set of labels is to use the paradigm of zero-shot learning as a natural language inference task, which in addition adds the advantage of not needing any labeled training data. This raises the question how to prompt a natural language inference model for zero-shot learning emotion classification. Options for prompt formulations include the emotion name anger alone or the statement “This text expresses anger”. With this paper, we analyze how sensitive a natural language inference-based zero-shot-learning classifier is to such changes to the prompt under consideration of the corpus: How carefully does the prompt need to be selected? We perform experiments on an established set of emotion datasets presenting different language registers according to different sources (tweets, events, blogs) with three natural language inference models and show that indeed the choice of a particular prompt formulation needs to fit to the corpus. We show that this challenge can be tackled with combinations of multiple prompts. Such ensemble is more robust across corpora than individual prompts and shows nearly the same performance as the individual best prompt for a particular corpus.

Offensive language detection and analysis has become a major area of research in Natural Language Processing. The freedom of participation in social media has exposed online users to posts designed to denigrate, insult or hurt them according to gender, race, religion, ideology, or other personal characteristics. Focusing on young influencers from the well-known social platforms of Twitter, Instagram, and YouTube, we have collected a corpus composed of 47,128 Spanish comments manually labeled on offensive pre-defined categories. A subset of the corpus attaches a degree of confidence to each label, so both multi-class classification and multi-output regression studies are possible. In this paper, we introduce the corpus, discuss its building process, novelties, and some preliminary experiments with it to serve as a baseline for the research community.

In this work we address the processing of negation in Spanish. We first present a machine learning system that processes negation in Spanish. Specifically, we focus on two tasks: i) negation cue detection and ii) scope identification. The corpus used in the experimental framework is the SFU Corpus. The results for cue detection outperform state-of-the-art results, whereas for scope detection this is the first system that performs the task for Spanish. Moreover, we provide a qualitative error analysis aimed at understanding the limitations of the system and showing which negation cues and scopes are straightforward to predict automatically, and which ones are challenging.