Daily Papers

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.

Large Language Models (LLMs), acting as a powerful reasoner and generator, exhibit extraordinary performance across various natural language tasks, such as question answering (QA). Among these tasks, Multi-Hop Question Answering (MHQA) stands as a widely discussed category, necessitating seamless integration between LLMs and the retrieval of external knowledge. Existing methods employ LLM to generate reasoning paths and plans, and utilize IR to iteratively retrieve related knowledge, but these approaches have inherent flaws. On one hand, Information Retriever (IR) is hindered by the low quality of generated queries by LLM. On the other hand, LLM is easily misguided by the irrelevant knowledge by IR. These inaccuracies, accumulated by the iterative interaction between IR and LLM, lead to a disaster in effectiveness at the end. To overcome above barriers, in this paper, we propose a novel pipeline for MHQA called Furthest-Reasoning-with-Plan-Assessment (FuRePA), including an improved framework (Furthest Reasoning) and an attached module (Plan Assessor). 1) Furthest reasoning operates by masking previous reasoning path and generated queries for LLM, encouraging LLM generating chain of thought from scratch in each iteration. This approach enables LLM to break the shackle built by previous misleading thoughts and queries (if any). 2) The Plan Assessor is a trained evaluator that selects an appropriate plan from a group of candidate plans proposed by LLM. Our methods are evaluated on three highly recognized public multi-hop question answering datasets and outperform state-of-the-art on most metrics (achieving a 10%-12% in answer accuracy).

Ensuring safe, comfortable, and efficient planning is crucial for autonomous driving systems. While end-to-end models trained on large datasets perform well in standard driving scenarios, they struggle with complex low-frequency events. Recent Large Language Models (LLMs) and Vision Language Models (VLMs) advancements offer enhanced reasoning but suffer from computational inefficiency. Inspired by the dual-process cognitive model "Thinking, Fast and Slow", we propose FASIONAD -- a novel dual-system framework that synergizes a fast end-to-end planner with a VLM-based reasoning module. The fast system leverages end-to-end learning to achieve real-time trajectory generation in common scenarios, while the slow system activates through uncertainty estimation to perform contextual analysis and complex scenario resolution. Our architecture introduces three key innovations: (1) A dynamic switching mechanism enabling slow system intervention based on real-time uncertainty assessment; (2) An information bottleneck with high-level plan feedback that optimizes the slow system's guidance capability; (3) A bidirectional knowledge exchange where visual prompts enhance the slow system's reasoning while its feedback refines the fast planner's decision-making. To strengthen VLM reasoning, we develop a question-answering mechanism coupled with reward-instruct training strategy. In open-loop experiments, FASIONAD achieves a 6.7% reduction in average L2 trajectory error and 28.1% lower collision rate.