{"id":"https://openalex.org/W4416034315","doi":"https://doi.org/10.18653/v1/2025.findings-emnlp.1128","title":"Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction","display_name":"Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4416034315","doi":"https://doi.org/10.18653/v1/2025.findings-emnlp.1128","pmid":"https://pubmed.ncbi.nlm.nih.gov/41399802"},"language":"en","primary_location":{"id":"doi:10.18653/v1/2025.findings-emnlp.1128","is_oa":true,"landing_page_url":"https://doi.org/10.18653/v1/2025.findings-emnlp.1128","pdf_url":"https://aclanthology.org/2025.findings-emnlp.1128.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Findings of the Association for Computational Linguistics: EMNLP 2025","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://aclanthology.org/2025.findings-emnlp.1128.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102590258","display_name":"Maya Kruse","orcid":null},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maya Kruse","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083982090","display_name":"Shimin Hu","orcid":"https://orcid.org/0000-0002-3284-2494"},"institutions":[{"id":"https://openalex.org/I188538660","display_name":"University of Colorado Boulder","ror":"https://ror.org/02ttsq026","country_code":"US","type":"education","lineage":["https://openalex.org/I188538660"]},{"id":"https://openalex.org/I2802236040","display_name":"University of Colorado System","ror":"https://ror.org/00jc20583","country_code":"US","type":"education","lineage":["https://openalex.org/I2802236040"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shiyue Hu","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus","University of Colorado Boulder"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]},{"raw_affiliation_string":"University of Colorado Boulder","institution_ids":["https://openalex.org/I2802236040","https://openalex.org/I188538660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116129715","display_name":"Nicholas Derby","orcid":null},"institutions":[{"id":"https://openalex.org/I188538660","display_name":"University of Colorado Boulder","ror":"https://ror.org/02ttsq026","country_code":"US","type":"education","lineage":["https://openalex.org/I188538660"]},{"id":"https://openalex.org/I2802236040","display_name":"University of Colorado System","ror":"https://ror.org/00jc20583","country_code":"US","type":"education","lineage":["https://openalex.org/I2802236040"]},{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicholas Derby","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus","University of Colorado Boulder"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]},{"raw_affiliation_string":"University of Colorado Boulder","institution_ids":["https://openalex.org/I2802236040","https://openalex.org/I188538660"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029720510","display_name":"Yifu Wu","orcid":"https://orcid.org/0000-0001-5132-2980"},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yifu Wu","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063206512","display_name":"Samantha Stonbraker","orcid":"https://orcid.org/0000-0003-0049-4269"},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samantha Stonbraker","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033744502","display_name":"Bingsheng Yao","orcid":"https://orcid.org/0009-0004-8329-4610"},"institutions":[{"id":"https://openalex.org/I87182695","display_name":"Universidad del Noreste","ror":"https://ror.org/02ahky613","country_code":"MX","type":"education","lineage":["https://openalex.org/I87182695"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Bingsheng Yao","raw_affiliation_strings":["Northeastern University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northeastern University","institution_ids":["https://openalex.org/I87182695"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062817658","display_name":"Dakuo Wang","orcid":"https://orcid.org/0000-0001-9371-9441"},"institutions":[{"id":"https://openalex.org/I87182695","display_name":"Universidad del Noreste","ror":"https://ror.org/02ahky613","country_code":"MX","type":"education","lineage":["https://openalex.org/I87182695"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Dakuo Wang","raw_affiliation_strings":["Northeastern University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Northeastern University","institution_ids":["https://openalex.org/I87182695"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087121649","display_name":"Elizabeth Swanson Goldberg","orcid":null},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth M. Goldberg","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101744555","display_name":"Yanjun Gao","orcid":"https://orcid.org/0000-0002-9341-7360"},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz Medical Campus","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yanjun Gao","raw_affiliation_strings":["University of Colorado Anschutz Medical Campus"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Colorado Anschutz Medical Campus","institution_ids":["https://openalex.org/I51713134"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":9,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":8.3215,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.97381103,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"2025","issue":null,"first_page":"20715","last_page":"20735"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.8263000249862671,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.8263000249862671,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10028","display_name":"Topic Modeling","score":0.15150000154972076,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/automatic-summarization","display_name":"Automatic summarization","score":0.8812999725341797},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.6258999705314636},{"id":"https://openalex.org/keywords/language-model","display_name":"Language model","score":0.3946000039577484},{"id":"https://openalex.org/keywords/temporal-database","display_name":"Temporal database","score":0.38499999046325684},{"id":"https://openalex.org/keywords/unstructured-data","display_name":"Unstructured data","score":0.3822999894618988},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.3490999937057495},{"id":"https://openalex.org/keywords/multi-document-summarization","display_name":"Multi-document summarization","score":0.32749998569488525}],"concepts":[{"id":"https://openalex.org/C170858558","wikidata":"https://www.wikidata.org/wiki/Q1394144","display_name":"Automatic summarization","level":2,"score":0.8812999725341797},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7271000146865845},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6258999705314636},{"id":"https://openalex.org/C204321447","wikidata":"https://www.wikidata.org/wiki/Q30642","display_name":"Natural language processing","level":1,"score":0.5892000198364258},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.5264000296592712},{"id":"https://openalex.org/C137293760","wikidata":"https://www.wikidata.org/wiki/Q3621696","display_name":"Language model","level":2,"score":0.3946000039577484},{"id":"https://openalex.org/C77277458","wikidata":"https://www.wikidata.org/wiki/Q1969246","display_name":"Temporal database","level":2,"score":0.38499999046325684},{"id":"https://openalex.org/C2781252014","wikidata":"https://www.wikidata.org/wiki/Q1141900","display_name":"Unstructured data","level":3,"score":0.3822999894618988},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.3490999937057495},{"id":"https://openalex.org/C134714966","wikidata":"https://www.wikidata.org/wiki/Q6934448","display_name":"Multi-document summarization","level":3,"score":0.32749998569488525},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.3228999972343445},{"id":"https://openalex.org/C67186912","wikidata":"https://www.wikidata.org/wiki/Q367664","display_name":"Data modeling","level":2,"score":0.31859999895095825},{"id":"https://openalex.org/C23123220","wikidata":"https://www.wikidata.org/wiki/Q816826","display_name":"Information retrieval","level":1,"score":0.30880001187324524},{"id":"https://openalex.org/C2776187449","wikidata":"https://www.wikidata.org/wiki/Q1513879","display_name":"Natural language generation","level":3,"score":0.2994999885559082},{"id":"https://openalex.org/C72634772","wikidata":"https://www.wikidata.org/wiki/Q386824","display_name":"Data integration","level":2,"score":0.2720000147819519},{"id":"https://openalex.org/C171686336","wikidata":"https://www.wikidata.org/wiki/Q3532085","display_name":"Topic model","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C195324797","wikidata":"https://www.wikidata.org/wiki/Q33742","display_name":"Natural language","level":2,"score":0.26019999384880066},{"id":"https://openalex.org/C20162079","wikidata":"https://www.wikidata.org/wiki/Q1151406","display_name":"Case-based reasoning","level":2,"score":0.25600001215934753},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.2542000114917755},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.25290000438690186},{"id":"https://openalex.org/C3020672099","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Longitudinal data","level":2,"score":0.25220000743865967}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.18653/v1/2025.findings-emnlp.1128","is_oa":true,"landing_page_url":"https://doi.org/10.18653/v1/2025.findings-emnlp.1128","pdf_url":"https://aclanthology.org/2025.findings-emnlp.1128.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Findings of the Association for Computational Linguistics: EMNLP 2025","raw_type":"proceedings-article"},{"id":"pmid:41399802","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41399802","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Findings of ACL. EMNLP. Conference on Empirical Methods in Natural Language Processing","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:12702291","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12702291/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Find ACL EMNLP","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.18653/v1/2025.findings-emnlp.1128","is_oa":true,"landing_page_url":"https://doi.org/10.18653/v1/2025.findings-emnlp.1128","pdf_url":"https://aclanthology.org/2025.findings-emnlp.1128.pdf","source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Findings of the Association for Computational Linguistics: EMNLP 2025","raw_type":"proceedings-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G706407019","display_name":null,"funder_award_id":"R00 LM014308","funder_id":"https://openalex.org/F4320337372","funder_display_name":"U.S. National Library of Medicine"}],"funders":[{"id":"https://openalex.org/F4320337372","display_name":"U.S. National Library of Medicine","ror":"https://ror.org/0060t0j89"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4416034315.pdf","grobid_xml":"https://content.openalex.org/works/W4416034315.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Recent":[0],"advances":[1],"in":[2,10,122,124,139],"large":[3],"language":[4],"models":[5],"(LLMs)":[6],"have":[7],"shown":[8],"potential":[9],"clinical":[11,50,104,141],"text":[12,142],"summarization,":[13,143],"but":[14,99],"their":[15,38,56],"ability":[16,57],"to":[17,58],"handle":[18],"long":[19,93,140],"patient":[20],"trajectories":[21],"with":[22,111,150],"multi-modal":[23,151],"data":[24,67,152],"spread":[25],"across":[26],"time":[27],"remains":[28],"underexplored.":[29],"This":[30],"study":[31],"systematically":[32],"evaluates":[33],"several":[34],"state-of-the-art":[35],"open-source":[36],"LLMs,":[37],"Retrieval":[39],"Augmented":[40],"Generation":[41],"(RAG)":[42],"variants":[43],"and":[44,52,61,80,106,114,153],"chain-of-thought":[45],"(CoT)":[46],"prompting":[47],"on":[48],"long-context":[49],"summarization":[51,79],"prediction.":[53,117],"We":[54],"examine":[55],"synthesize":[59],"structured":[60],"unstructured":[62],"Electronic":[63],"Health":[64],"Records":[65],"(EHR)":[66],"while":[68],"reasoning":[69],"over":[70],"temporal":[71,112,154],"coherence,":[72],"by":[73],"re-engineering":[74],"existing":[75],"tasks,":[76],"including":[77],"discharge":[78],"diagnosis":[81],"prediction":[82],"from":[83],"two":[84],"publicly":[85],"available":[86],"EHR":[87],"datasets.":[88],"Our":[89,134],"results":[90],"indicate":[91],"that":[92],"context":[94],"windows":[95],"improve":[96],"input":[97],"integration":[98],"do":[100],"not":[101,129],"consistently":[102],"enhance":[103],"reasoning,":[105],"LLMs":[107,149],"are":[108],"still":[109],"struggling":[110],"progression":[113],"rare":[115],"disease":[116],"While":[118],"RAG":[119],"shows":[120],"improvements":[121],"hallucination":[123],"some":[125],"cases,":[126],"it":[127],"does":[128],"fully":[130],"address":[131],"these":[132],"limitations.":[133],"work":[135],"fills":[136],"the":[137],"gap":[138],"establishing":[144],"a":[145],"foundation":[146],"for":[147],"evaluating":[148],"reasoning.":[155]},"counts_by_year":[{"year":2026,"cited_by_count":5}],"updated_date":"2026-06-24T13:16:06.693445","created_date":"2025-11-08T00:00:00"}
