Automatically answering patient questions based on electronic health records (EHRs) requires systems that both identify relevant evidence and generate accurate, grounded responses. We present a three-part pipeline developed by WisPerMed for the ArchEHR-QA 2025 shared task. First, a fine-tuned BioClinicalBERT model classifies note sentences by their relevance using synonym-based and paraphrased data augmentation. Second, a constrained generation step uses DistilBART-MedSummary to produce faithful answers strictly limited to top-ranked evidence. Third, we align each answer sentence to its supporting evidence via BiomedBERT embeddings and ROUGE-based similarity scoring to ensure citation transparency. Our system achieved a 35.0% overall score on the hidden test set, outperforming the organizer’s baseline by 4.3 percentage points. Gains in BERTScore (+44%) and SARI (+119%) highlight substantial improvements in semantic accuracy and relevance. This modular approach demonstrates that enforcing evidence-awareness and citation grounding enhances both answer quality and trustworthiness in clinical QA systems.

Clinical documents are essential to patient care, but their complexity often makes them inaccessible to patients. Large Language Models (LLMs) are a promising solution to support the creation of lay translations of these documents, addressing the infeasibility of manually creating these translations in busy clinical settings. However, the integration of LLMs into medical practice in Germany is challenging due to data scarcity and privacy regulations. This work evaluates an open-source LLM for lay translation in this data-scarce environment using datasets of German synthetic clinical documents and real tumor board protocols. The evaluation framework used combines readability, semantic, and lexical measures with the G-Eval framework. Preliminary results show that zero-shot prompts significantly improve readability (e.g., FREde: 21.4 → 39.3) and few-shot prompts improve semantic and lexical fidelity. However, the results also reveal G-Eval’s limitations in distinguishing between intentional omissions and factual inaccuracies. These findings underscore the need for manual review in clinical applications to ensure both accessibility and accuracy in lay translations. Furthermore, the effectiveness of prompting highlights the need for future work to develop applications that use predefined prompts in the background to reduce clinician workload.

Healthcare community question-answering (CQA) forums provide multi-perspective insights into patient experiences and medical advice. Summarizations of these threads must account for these perspectives, rather than relying on a single “best” answer. This paper presents the participation of the WisPerMed team in the PerAnsSumm shared task 2025, which consists of two sub-tasks: (A) span identification and classification, and (B) perspectivebased summarization. For Task A, encoder models, decoder-based LLMs, and reasoningfocused models are evaluated under finetuning, instruction-tuning, and prompt-based paradigms. The experimental evaluations employing automatic metrics demonstrate that DeepSeek-R1 attains a high proportional recall (0.738) and F1-Score (0.676) in zero-shot settings, though strict boundary alignment remains challenging (F1-Score: 0.196). For Task B, filtering answers by labeling them with perspectives prior to summarization with Mistral-7B-v0.3 enhances summarization. This approach ensures that the model is trained exclusively on relevant data, while discarding non-essential information, leading to enhanced relevance (ROUGE-1: 0.452) and balanced factuality (SummaC: 0.296). The analysis uncovers two key limitations: data imbalance and hallucinations of decoder-based LLMs, with underrepresented perspectives exhibiting suboptimal performance. The WisPerMed team’s approach secured the highest overall ranking in the shared task.