SCARE: A Benchmark for SQL Correction and Question Answerability Classification for Reliable EHR Question Answering

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Main Authors: Lee, Gyubok, Chay, Woosog, Choi, Edward
Format: Preprint
Published: 2025
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author Lee, Gyubok
Chay, Woosog
Choi, Edward
author_facet Lee, Gyubok
Chay, Woosog
Choi, Edward
contents Recent advances in Large Language Models (LLMs) have enabled the development of text-to-SQL models that allow clinicians to query structured data stored in Electronic Health Records (EHRs) using natural language. However, deploying these models for EHR question answering (QA) systems in safety-critical clinical environments remains challenging: incorrect SQL queries-whether caused by model errors or problematic user inputs-can undermine clinical decision-making and jeopardize patient care. While prior work has mainly focused on improving SQL generation accuracy or filtering questions before execution, there is a lack of a unified benchmark for evaluating independent post-hoc verification mechanisms (i.e., a component that inspects and validates the generated SQL before execution), which is crucial for safe deployment. To fill this gap, we introduce SCARE, a benchmark for evaluating methods that function as a post-hoc safety layer in EHR QA systems. SCARE evaluates the joint task of (1) classifying question answerability (i.e., determining whether a question is answerable, ambiguous, or unanswerable) and (2) verifying or correcting candidate SQL queries. The benchmark comprises 4,200 triples of questions, candidate SQL queries, and expected model outputs, grounded in the MIMIC-III, MIMIC-IV, and eICU databases. It covers a diverse set of questions and corresponding candidate SQL queries generated by seven different text-to-SQL models, ensuring a realistic and challenging evaluation. Using SCARE, we benchmark a range of approaches-from two-stage methods to agentic frameworks. Our experiments reveal a critical trade-off between question classification and SQL error correction, highlighting key challenges and outlining directions for future research.
format Preprint
id arxiv_https___arxiv_org_abs_2511_17559
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle SCARE: A Benchmark for SQL Correction and Question Answerability Classification for Reliable EHR Question Answering
Lee, Gyubok
Chay, Woosog
Choi, Edward
Computation and Language
Databases
Recent advances in Large Language Models (LLMs) have enabled the development of text-to-SQL models that allow clinicians to query structured data stored in Electronic Health Records (EHRs) using natural language. However, deploying these models for EHR question answering (QA) systems in safety-critical clinical environments remains challenging: incorrect SQL queries-whether caused by model errors or problematic user inputs-can undermine clinical decision-making and jeopardize patient care. While prior work has mainly focused on improving SQL generation accuracy or filtering questions before execution, there is a lack of a unified benchmark for evaluating independent post-hoc verification mechanisms (i.e., a component that inspects and validates the generated SQL before execution), which is crucial for safe deployment. To fill this gap, we introduce SCARE, a benchmark for evaluating methods that function as a post-hoc safety layer in EHR QA systems. SCARE evaluates the joint task of (1) classifying question answerability (i.e., determining whether a question is answerable, ambiguous, or unanswerable) and (2) verifying or correcting candidate SQL queries. The benchmark comprises 4,200 triples of questions, candidate SQL queries, and expected model outputs, grounded in the MIMIC-III, MIMIC-IV, and eICU databases. It covers a diverse set of questions and corresponding candidate SQL queries generated by seven different text-to-SQL models, ensuring a realistic and challenging evaluation. Using SCARE, we benchmark a range of approaches-from two-stage methods to agentic frameworks. Our experiments reveal a critical trade-off between question classification and SQL error correction, highlighting key challenges and outlining directions for future research.
title SCARE: A Benchmark for SQL Correction and Question Answerability Classification for Reliable EHR Question Answering
topic Computation and Language
Databases
url https://arxiv.org/abs/2511.17559