Yale-DM-Lab at ArchEHR-QA 2026: Deterministic Grounding and Multi-Pass Evidence Alignment for EHR Question Answering

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Hauptverfasser: Irankhah, Elyas, Fodeh, Samah
Format: Preprint
Veröffentlicht: 2026
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author Irankhah, Elyas
Fodeh, Samah
author_facet Irankhah, Elyas
Fodeh, Samah
contents We describe the Yale-DM-Lab system for the ArchEHR-QA 2026 shared task. The task studies patient-authored questions about hospitalization records and contains four subtasks (ST): clinician-interpreted question reformulation, evidence sentence identification, answer generation, and evidence-answer alignment. ST1 uses a dual-model pipeline with Claude Sonnet 4 and GPT-4o to reformulate patient questions into clinician-interpreted questions. ST2-ST4 rely on Azure-hosted model ensembles (o3, GPT-5.2, GPT-5.1, and DeepSeek-R1) combined with few-shot prompting and voting strategies. Our experiments show three main findings. First, model diversity and ensemble voting consistently improve performance compared to single-model baselines. Second, the full clinician answer paragraph is provided as additional prompt context for evidence alignment. Third, results on the development set show that alignment accuracy is mainly limited by reasoning. The best scores on the development set reach 88.81 micro F1 on ST4, 65.72 macro F1 on ST2, 34.01 on ST3, and 33.05 on ST1.
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id arxiv_https___arxiv_org_abs_2604_07116
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Yale-DM-Lab at ArchEHR-QA 2026: Deterministic Grounding and Multi-Pass Evidence Alignment for EHR Question Answering
Irankhah, Elyas
Fodeh, Samah
Computation and Language
We describe the Yale-DM-Lab system for the ArchEHR-QA 2026 shared task. The task studies patient-authored questions about hospitalization records and contains four subtasks (ST): clinician-interpreted question reformulation, evidence sentence identification, answer generation, and evidence-answer alignment. ST1 uses a dual-model pipeline with Claude Sonnet 4 and GPT-4o to reformulate patient questions into clinician-interpreted questions. ST2-ST4 rely on Azure-hosted model ensembles (o3, GPT-5.2, GPT-5.1, and DeepSeek-R1) combined with few-shot prompting and voting strategies. Our experiments show three main findings. First, model diversity and ensemble voting consistently improve performance compared to single-model baselines. Second, the full clinician answer paragraph is provided as additional prompt context for evidence alignment. Third, results on the development set show that alignment accuracy is mainly limited by reasoning. The best scores on the development set reach 88.81 micro F1 on ST4, 65.72 macro F1 on ST2, 34.01 on ST3, and 33.05 on ST1.
title Yale-DM-Lab at ArchEHR-QA 2026: Deterministic Grounding and Multi-Pass Evidence Alignment for EHR Question Answering
topic Computation and Language
url https://arxiv.org/abs/2604.07116