From EMR Data to Clinical Insight: An LLM-Driven Framework for Automated Pre-Consultation Questionnaire Generation

Pre-consultation is a critical component of effective healthcare delivery. However, generating comprehensive pre-consultation questionnaires from complex, voluminous Electronic Medical Records (EMRs) is a challenging task. Direct Large Language Model (LLM) approaches face difficulties in this task, particularly regarding information completeness, logical order, and disease-level synthesis. To address this issue, we propose a novel multi-stage LLM-driven framework: Stage 1 extracts atomic assertions (key facts with timing) from EMRs; Stage 2 constructs personal causal networks and synthesizes disease knowledge by clustering representative networks from an EMR corpus; Stage 3 generates tailored personal and standardized disease-specific questionnaires based on these structured representations. This framework overcomes limitations of direct methods by building explicit clinical knowledge. Evaluated on a real-world EMR dataset and validated by clinical experts, our method demonstrates superior performance in information coverage, diagnostic relevance, understandability, and generation time, highlighting its practical potential to enhance patient information collection.

Cognitive Activation and Chaotic Dynamics in Large Language Models: A Quasi-Lyapunov Analysis of Reasoning Mechanisms

The human-like reasoning capabilities exhibited by Large Language Models (LLMs) challenge the traditional neural network theory's understanding of the flexibility of fixed-parameter systems. This paper proposes the "Cognitive Activation" theory, revealing the essence of LLMs' reasoning mechanisms from the perspective of dynamic systems: the model's reasoning ability stems from a chaotic process of dynamic information extraction in the parameter space. By introducing the Quasi-Lyapunov Exponent (QLE), we quantitatively analyze the chaotic characteristics of the model at different layers. Experiments show that the model's information accumulation follows a nonlinear exponential law, and the Multilayer Perceptron (MLP) accounts for a higher proportion in the final output than the attention mechanism. Further experiments indicate that minor initial value perturbations will have a substantial impact on the model's reasoning ability, confirming the theoretical analysis that large language models are chaotic systems. This research provides a chaos theory framework for the interpretability of LLMs' reasoning and reveals potential pathways for balancing creativity and reliability in model design.