UTSA-NLP at ArchEHR-QA 2025: Improving EHR Question Answering via Self-Consistency Prompting
Sara Shields-Menard, Zach Reimers, Joshua Gardner, David Perry, Anthony Rios
Abstract
We describe our system for the ArchEHR-QA Shared Task on answering clinical questions using electronic health records (EHRs). Our approach uses large language models in two steps: first, to find sentences in the EHR relevant to a clinician’s question, and second, to generate a short, citation-supported response based on those sentences. We use few-shot prompting, self-consistency, and thresholding to improve the sentence classification step to decide which sentences are essential. We compare several models and find that a smaller 8B model performs better than a larger 70B model for identifying relevant information. Our results show that accurate sentence selection is critical for generating high-quality responses and that self-consistency with thresholding helps make these decisions more reliable.- Anthology ID:
- 2025.bionlp-share.10
- Volume:
- Proceedings of the 24th Workshop on Biomedical Language Processing (Shared Tasks)
- Month:
- August
- Year:
- 2025
- Address:
- Vienna, Austria
- Editors:
- Sarvesh Soni, Dina Demner-Fushman
- Venues:
- BioNLP | WS
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 81–90
- Language:
- URL:
- https://preview.aclanthology.org/landing_page/2025.bionlp-share.10/
- DOI:
- 10.18653/v1/2025.bionlp-share.10
- Cite (ACL):
- Sara Shields-Menard, Zach Reimers, Joshua Gardner, David Perry, and Anthony Rios. 2025. UTSA-NLP at ArchEHR-QA 2025: Improving EHR Question Answering via Self-Consistency Prompting. In Proceedings of the 24th Workshop on Biomedical Language Processing (Shared Tasks), pages 81–90, Vienna, Austria. Association for Computational Linguistics.
- Cite (Informal):
- UTSA-NLP at ArchEHR-QA 2025: Improving EHR Question Answering via Self-Consistency Prompting (Shields-Menard et al., BioNLP 2025)
- PDF:
- https://preview.aclanthology.org/landing_page/2025.bionlp-share.10.pdf