{"id":"https://openalex.org/W7165868692","doi":"https://doi.org/10.48550/arxiv.2606.25334","title":"Bridging the Post-discharge Gap: A Traceable Multi-agent Framework for Safe and Continuous Care","display_name":"Bridging the Post-discharge Gap: A Traceable Multi-agent Framework for Safe and Continuous Care","publication_year":2026,"publication_date":"2026-06-24","ids":{"openalex":"https://openalex.org/W7165868692","doi":"https://doi.org/10.48550/arxiv.2606.25334"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2606.25334","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.25334","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2606.25334","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5139337212","display_name":"Runwei Guan","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Guan, Runwei","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139314663","display_name":"Yi Zhou","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhou, Yi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139311981","display_name":"Heyi Lin","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lin, Heyi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139384645","display_name":"Jinjing Zhu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhu, Jinjing","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139364648","display_name":"Mingyuan Hou","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hou, Mingyuan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139364856","display_name":"Yang Yang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yang, Yang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139381973","display_name":"Fang Yuan","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yuan, Fang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139323806","display_name":"Xiaohong Lin","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lin, Xiaohong","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139351247","display_name":"Shaofeng Liang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Liang, Shaofeng","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139383328","display_name":"Xuming Hu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hu, Xuming","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139317594","display_name":"Tao Li","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Li, Tao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139377925","display_name":"Tianbin Zhao","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhao, Tianbin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139382677","display_name":"Yutao Yue","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yue, Yutao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139308518","display_name":"Zhiyuan Wang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wang, Zhiyuan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5139350535","display_name":"Hui Xiong","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xiong, Hui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.8725000023841858,"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":0.8725000023841858,"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":0.04520000144839287,"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":0.026200000196695328,"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/bridging","display_name":"Bridging (networking)","score":0.7184000015258789},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5134999752044678},{"id":"https://openalex.org/keywords/matching","display_name":"Matching (statistics)","score":0.5134999752044678},{"id":"https://openalex.org/keywords/triage","display_name":"Triage","score":0.4918000102043152},{"id":"https://openalex.org/keywords/software-deployment","display_name":"Software deployment","score":0.4575999975204468},{"id":"https://openalex.org/keywords/completeness","display_name":"Completeness (order theory)","score":0.41510000824928284},{"id":"https://openalex.org/keywords/chart","display_name":"Chart","score":0.3562000095844269},{"id":"https://openalex.org/keywords/unified-medical-language-system","display_name":"Unified Medical Language System","score":0.3521000146865845}],"concepts":[{"id":"https://openalex.org/C174348530","wikidata":"https://www.wikidata.org/wiki/Q188635","display_name":"Bridging (networking)","level":2,"score":0.7184000015258789},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5899999737739563},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5134999752044678},{"id":"https://openalex.org/C165064840","wikidata":"https://www.wikidata.org/wiki/Q1321061","display_name":"Matching (statistics)","level":2,"score":0.5134999752044678},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.4918000102043152},{"id":"https://openalex.org/C105339364","wikidata":"https://www.wikidata.org/wiki/Q2297740","display_name":"Software deployment","level":2,"score":0.4575999975204468},{"id":"https://openalex.org/C17231256","wikidata":"https://www.wikidata.org/wiki/Q5156540","display_name":"Completeness (order theory)","level":2,"score":0.41510000824928284},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.40720000863075256},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.4047999978065491},{"id":"https://openalex.org/C190812933","wikidata":"https://www.wikidata.org/wiki/Q28923","display_name":"Chart","level":2,"score":0.3562000095844269},{"id":"https://openalex.org/C69505689","wikidata":"https://www.wikidata.org/wiki/Q455338","display_name":"Unified Medical Language System","level":2,"score":0.3521000146865845},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.3255000114440918},{"id":"https://openalex.org/C2779903281","wikidata":"https://www.wikidata.org/wiki/Q6888026","display_name":"Modalities","level":2,"score":0.31310001015663147},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.30880001187324524},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.30799999833106995},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3012000024318695},{"id":"https://openalex.org/C194051981","wikidata":"https://www.wikidata.org/wiki/Q1337691","display_name":"Economic shortage","level":3,"score":0.29269999265670776},{"id":"https://openalex.org/C123657996","wikidata":"https://www.wikidata.org/wiki/Q12271","display_name":"Architecture","level":2,"score":0.2879999876022339},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.287200003862381},{"id":"https://openalex.org/C188087704","wikidata":"https://www.wikidata.org/wiki/Q369577","display_name":"Standardization","level":2,"score":0.2842000126838684},{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.2809000015258789},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.2750000059604645},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.2581999897956848},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.25769999623298645},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.25099998712539673}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2606.25334","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.25334","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2606.25334","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2606.25334","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Post-discharge":[0],"clinical":[1,32,87,125,179,191],"follow-up":[2,17,76,166],"is":[3,49],"critical":[4],"for":[5,112,209],"maintaining":[6],"continuity":[7],"of":[8,22],"care":[9,48],"and":[10,28,54,85,91,115,127,135,142,161,190,205],"mitigating":[11],"long-term":[12],"health":[13,23],"risks.":[14],"However,":[15],"traditional":[16],"paradigms":[18],"suffer":[19],"from":[20],"shortage":[21],"workforce,":[24],"fragmented":[25],"patient":[26,211],"histories,":[27],"information":[29],"silos":[30],"across":[31,132],"departments.":[33],"While":[34],"large":[35],"language":[36],"models":[37],"have":[38],"demonstrated":[39],"potential":[40],"in":[41,46,89,187],"medical":[42],"question-answering,":[43],"their":[44],"deployment":[45],"continuous":[47,160],"hindered":[50],"by":[51,77,178],"hallucination":[52],"risks":[53],"a":[55,68,98,102,108,116,156,173,195,202],"fundamental":[56],"inability":[57],"to":[58,72],"reason":[59],"over":[60],"longitudinal,":[61],"patient-specific":[62],"constraints.":[63],"Here":[64],"we":[65],"present":[66],"Healink,":[67],"memory-enhanced":[69],"multi-agent":[70],"framework":[71,182],"support":[73],"AI-assisted":[74],"post-discharge":[75],"generating":[78,194],"prescription-grounded,":[79],"traceable":[80],"responses":[81],"that":[82],"improved":[83],"completeness":[84],"perceived":[86],"utility":[88],"retrospective":[90],"physician-blinded":[92],"evaluations.":[93],"The":[94],"architecture":[95],"seamlessly":[96],"integrates":[97],"triage":[99],"routing":[100],"mechanism,":[101],"unified":[103],"memory":[104],"enhancement":[105],"module":[106],"utilizing":[107],"robust":[109],"relational":[110],"database":[111],"optimal":[113],"latency,":[114],"strict":[117],"constraint-based":[118],"retrieval-augmented":[119],"generation":[120],"engine.":[121],"By":[122,193],"vectorizing":[123],"historical":[124],"records":[126],"employing":[128],"weighted":[129],"similarity":[130],"functions":[131],"diverse":[133],"phenotypic":[134],"intervention":[136],"dimensions,":[137],"Healink":[138,154,200],"ensures":[139],"precise":[140],"inter-patient":[141],"intra-patient":[143],"case":[144],"matching":[145],"while":[146],"actively":[147],"preventing":[148],"cross-departmental":[149],"drug":[150],"conflicts.":[151],"We":[152],"evaluated":[153],"on":[155],"dataset":[157],"comprising":[158],"400":[159],"85":[162],"highly":[163,206],"complex":[164],"real-world":[165],"cases,":[167],"alongside":[168],"the":[169,181],"webMedQA":[170],"benchmark.":[171],"In":[172],"rigorous":[174],"single-blind":[175],"evaluation":[176],"conducted":[177],"experts,":[180],"outperformed":[183],"human":[184],"physician":[185],"baselines":[186],"both":[188],"authoritativeness":[189],"safety.":[192],"traceable,":[196],"white-box":[197],"evidence":[198],"chain,":[199],"provides":[201],"scalable,":[203],"safe,":[204],"effective":[207],"paradigm":[208],"intelligent":[210],"management,":[212],"ultimately":[213],"enhancing":[214],"societal":[215],"healthcare":[216],"outcomes.":[217]},"counts_by_year":[],"updated_date":"2026-07-01T06:00:48.157686","created_date":"2026-06-26T00:00:00"}
