Verifying the truthfulness of claims usually requires joint multi-modal reasoning over both textual and visual evidence, such as analyzing both textual caption and chart image for claim verification. In addition, to make the reasoning process transparent, a textual explanation is necessary to justify the verification result. However, most claim verification works mainly focus on the reasoning over textual evidence only or ignore the explainability, resulting in inaccurate and unconvincing verification. To address this problem, we propose a novel model that jointly achieves evidence retrieval, multi-modal claim verification, and explanation generation. For evidence retrieval, we construct a two-layer multi-modal graph for claims and evidence, where we design image-to-text and text-to-image reasoning for multi-modal retrieval. For claim verification, we propose token- and evidence-level fusion to integrate claim and evidence embeddings for multi-modal verification. For explanation generation, we introduce multi-modal Fusion-in-Decoder for explainability. Finally, since almost all the datasets are in general domain, we create a scientific dataset, AIChartClaim, in AI domain to complement claim verification community. Experiments show the strength of our model.

Pretraining has proven to be a powerful technique in natural language processing (NLP), exhibiting remarkable success in various NLP downstream tasks. However, in the medical domain, existing pretrained models on electronic health records (EHR) fail to capture the hierarchical nature of EHR data, limiting their generalization capability across diverse downstream tasks using a single pretrained model. To tackle this challenge, this paper introduces a novel, general, and unified pretraining framework called MedHMP, specifically designed for hierarchically multimodal EHR data. The effectiveness of the proposed MedHMP is demonstrated through experimental results on eight downstream tasks spanning three levels. Comparisons against eighteen baselines further highlight the efficacy of our approach.