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Main Authors: Chen, Jing, Wei, Zhihua, Zhang, Wei, Hu, Yingying, Zhang, Qiong
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2504.10418
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author Chen, Jing
Wei, Zhihua
Zhang, Wei
Hu, Yingying
Zhang, Qiong
author_facet Chen, Jing
Wei, Zhihua
Zhang, Wei
Hu, Yingying
Zhang, Qiong
contents Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted evaluation methods has significantly impeded this process. So we propose CliniChat, a framework that integrates multi-source knowledge to enable LLMs to simulate real-world clinical interviews. It consists of two modules: Clini-Recon and Clini-Eval, each responsible for reconstructing and evaluating interview dialogues, respectively. By incorporating three sources of knowledge, Clini-Recon transforms clinical notes into systematic, professional, and empathetic interview dialogues. Clini-Eval combines a comprehensive evaluation metric system with a two-phase automatic evaluation approach, enabling LLMs to assess interview performance like experts. We contribute MedQA-Dialog, a high-quality synthetic interview dialogue dataset, and CliniChatGLM, a model specialized for clinical interviews. Experimental results demonstrate that CliniChatGLM's interview capabilities undergo a comprehensive upgrade, particularly in history-taking, achieving state-of-the-art performance.
format Preprint
id arxiv_https___arxiv_org_abs_2504_10418
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle CliniChat: A Multi-Source Knowledge-Driven Framework for Clinical Interview Dialogue Reconstruction and Evaluation
Chen, Jing
Wei, Zhihua
Zhang, Wei
Hu, Yingying
Zhang, Qiong
Computation and Language
Large language models (LLMs) hold great promise for assisting clinical interviews due to their fluent interactive capabilities and extensive medical knowledge. However, the lack of high-quality interview dialogue data and widely accepted evaluation methods has significantly impeded this process. So we propose CliniChat, a framework that integrates multi-source knowledge to enable LLMs to simulate real-world clinical interviews. It consists of two modules: Clini-Recon and Clini-Eval, each responsible for reconstructing and evaluating interview dialogues, respectively. By incorporating three sources of knowledge, Clini-Recon transforms clinical notes into systematic, professional, and empathetic interview dialogues. Clini-Eval combines a comprehensive evaluation metric system with a two-phase automatic evaluation approach, enabling LLMs to assess interview performance like experts. We contribute MedQA-Dialog, a high-quality synthetic interview dialogue dataset, and CliniChatGLM, a model specialized for clinical interviews. Experimental results demonstrate that CliniChatGLM's interview capabilities undergo a comprehensive upgrade, particularly in history-taking, achieving state-of-the-art performance.
title CliniChat: A Multi-Source Knowledge-Driven Framework for Clinical Interview Dialogue Reconstruction and Evaluation
topic Computation and Language
url https://arxiv.org/abs/2504.10418