Towards Error-Free EHRs: Reasoning-Intensive Consistency Verification Between Clinical Notes and Structured Tables in Electronic Health Records

Data consistency between unstructured clinical notes and structured tables in Electronic Health Records (EHRs) is essential for patient safety and clinical decision-making. However, existing work on note-table consistency verification mainly relies on surface-level matching of numeric values or simple events. Such approaches fail to capture the reasoning underlying real-world EHR documentation, including clinical interpretation, event relations, and temporal changes. To address this gap, we introduce EHR-ReasonCon, a reasoning-intensive benchmark for note-table consistency verification. Built on MIMIC-III with expert-guided annotations, it comprises 8,048 entities derived from clinical notes and provides high-quality ground-truth labels. The annotation protocol is supported by specialized table-exploration tools to ensure systematic evidence retrieval and reliable consistency assessment. We also propose EHR-Inspector, an LLM-based framework that segments notes, extracts anchor entities and temporal references, and uses table-exploration tools to verify consistency against structured tables. Evaluated using expert-validated LLM-as-a-judge metrics under harsh and lenient criteria, EHR-Inspector achieves state-of-the-art performance across multiple model backbones. Analyses further demonstrate the effectiveness of its components and highlight differences from human verification.

H-AdminSim: A Multi-Agent Simulator for Realistic Hospital Administrative Workflows with FHIR Integration

Hospital administration departments handle a wide range of operational tasks and, in large hospitals, process over 10,000 requests per day, driving growing interest in LLM-based automation. However, prior work has focused primarily on patient--physician interactions or isolated administrative subtasks, failing to capture the complexity of real administrative workflows. To address this gap, we propose H-AdminSim, a comprehensive end-to-end simulation framework that combines realistic data generation with multi-agent-based simulation of hospital administrative workflows. These tasks are quantitatively evaluated using detailed rubrics, enabling systematic comparison of LLMs. Through FHIR integration, H-AdminSim provides a unified and interoperable environment for testing administrative workflows across heterogeneous hospital settings, serving as a standardized testbed for assessing the feasibility and performance of LLM-driven administrative automation.

Trans-EnV: A Framework for Evaluating the Linguistic Robustness of LLMs Against English Varieties

Large Language Models (LLMs) are predominantly evaluated on Standard American English (SAE), often overlooking the diversity of global English varieties. This narrow focus may raise fairness concerns as degraded performance on non-standard varieties can lead to unequal benefits for users worldwide. Therefore, it is critical to extensively evaluate the linguistic robustness of LLMs on multiple non-standard English varieties. We introduce Trans-EnV, a framework that automatically transforms SAE datasets into multiple English varieties to evaluate the linguistic robustness. Our framework combines (1) linguistics expert knowledge to curate variety-specific features and transformation guidelines from linguistic literature and corpora, and (2) LLM-based transformations to ensure both linguistic validity and scalability. Using Trans-EnV, we transform six benchmark datasets into 38 English varieties and evaluate seven state-of-the-art LLMs. Our results reveal significant performance disparities, with accuracy decreasing by up to 46.3% on non-standard varieties. These findings highlight the importance of comprehensive linguistic robustness evaluation across diverse English varieties. Each construction of Trans-EnV was validated through rigorous statistical testing and consultation with a researcher in the field of second language acquisition, ensuring its linguistic validity. Our \href{https://github.com/jiyounglee-0523/TransEnV}{code} and \href{https://huggingface.co/collections/jiyounglee0523/transenv-681eadb3c0c8cf363b363fb1}{datasets} are publicly available.

Unsupervised Text Embedding Space Generation Using Generative Adversarial Networks for Text Synthesis

Generative Adversarial Networks (GAN) is a model for data synthesis, which creates plausible data through the competition of generator and discriminator. Although GAN application to image synthesis is extensively studied, it has inherent limitations to natural language generation. Because natural language is composed of discrete tokens, a generator has difficulty updating its gradient through backpropagation; therefore, most text-GAN studies generate sentences starting with a random token based on a reward system. Thus, the generators of previous studies are pre-trained in an autoregressive way before adversarial training, causing data memorization that synthesized sentences reproduce the training data. In this paper, we synthesize sentences using a framework similar to the original GAN. More specifically, we propose Text Embedding Space Generative Adversarial Networks (TESGAN) which generate continuous text embedding spaces instead of discrete tokens to solve the gradient backpropagation problem. Furthermore, TESGAN conducts unsupervised learning which does not directly refer to the text of the training data to overcome the data memorization issue. By adopting this novel method, TESGAN can synthesize new sentences, showing the potential of unsupervised learning for text synthesis. We expect to see extended research combining Large Language Models with a new perspective of viewing text as an continuous space.